Individual provider Active NPI

Kathryn R Gottfried Randall, O.T.

  • Occupational Therapist
  • Lawrence, KS
National Provider Identifier
1225016751
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1799 Issued in NM
Practice address
6265 Rock Chalk Dr
Lawrence, KS 66049-5232
Phone
(785) 838-7885
Fax
(785) 505-5311
NPI assigned
Jan 5, 2006
Last updated
May 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 1799 NM Primary
Occupational Therapist 225X00000X 17-02400 KS

Addresses

Primary practice location

6265 Rock Chalk Dr
Lawrence, KS 66049-5232

Mailing address

6265 Rock Chalk Dr Ste 1700
Lawrence, KS 66049-5232
Phone (785) 838-7885

Other practice location 1

201 Cedar St SE
Suite 6600
Albuquerque, NM 87106-4917
Phone (505) 724-4300

Other practice location 2

3215 Main St Ste 202
Kansas City, MO 64111-1946
Phone (816) 472-1800

Other practice location 3

1061 E 151st St
Olathe, KS 66062-3417
Phone (913) 829-3133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17-02400KSMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bird Physical Therapy PA PastSince Mar 25, 2002 Accepting new patients
Lawrence Memorial Hospital PastSince Feb 25, 2024 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1225016751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6265 ROCK CHALK DR STE 1700",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660495232",
            "telephone_number": "785-838-7885",
            "fax_number": "785-838-7885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6265 ROCK CHALK DR",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660495232",
            "telephone_number": "785-838-7885",
            "fax_number": "785-505-5311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Cedar St SE",
            "address_2": "Suite 6600",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871064917",
            "country_code": "US",
            "telephone_number": "505-724-4300",
            "fax_number": "505-724-4384",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3215 Main St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641111946",
            "country_code": "US",
            "telephone_number": "816-472-1800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1061 E 151st St",
            "address_purpose": "LOCATION",
            "city": "Olathe",
            "state": "KS",
            "postal_code": "660623417",
            "country_code": "US",
            "telephone_number": "913-829-3133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOTTFRIED RANDALL",
        "first_name": "KATHRYN",
        "middle_name": "R",
        "credential": "O.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-05",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NM",
            "license": "1799",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KS",
            "license": "17-02400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.