Individual provider Active NPI

Katherine Lundgren, OTR

  • Pediatric Occupational Therapist
  • Allen, TX
National Provider Identifier
1245392372
Registry record updated Jul 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
108093 Issued in TX
Practice address
900 Junction Dr
Allen, TX 75013-5290
Phone
(469) 675-3153
Fax
(469) 675-3154
NPI assigned
Dec 14, 2006
Last updated
Jul 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 108093 TX
Pediatric Occupational Therapist 225XP0200X 108093 TX Primary
Feeding, Eating & Swallowing Occupational Therapy Assistant 224ZF0002X 108093 TX

Addresses

Primary practice location

900 Junction Dr
Allen, TX 75013-5290

Mailing address

900 Junction Dr
Allen, TX 75013-5290
Phone (469) 675-3153

Other practice location 1

1707 Fountainview Dr
Mansfield, TX 76063-5091
Phone (817) 752-9662

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cutting Edge Pediatric Therapy Mansfield Occupational Therapist Current Accepting new patients
Cutting Edge Pediatric Therapy Occupational Therapist CurrentSince Aug 9, 2020 Accepting new patients
Cutting Edge Pediatric Therapy Houston, LLC Past Accepting new patients

Locations

800 N Watters Rd
Ste 150
Allen, TX 75013
Phone (469) 675-3153

900 Junction Dr
Allen, TX 75013
Phone (469) 675-3153

21703 Kingsland Blvd
Ste 100
Katy, TX 77450
Phone (281) 769-1015

1707 Fountainview Dr
Mansfield, TX 76063
Phone (817) 752-9662

2501 N Walnut Creek Dr
Mansfield, TX 76063
Phone (817) 752-9662

Organizations & group practices 3

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": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595894400000",
    "number": "1245392372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 JUNCTION DR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135290",
            "telephone_number": "469-675-3153",
            "fax_number": "469-675-3154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 JUNCTION DR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135290",
            "telephone_number": "469-675-3153",
            "fax_number": "469-675-3154"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1707 Fountainview Dr",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "TX",
            "postal_code": "760635091",
            "country_code": "US",
            "telephone_number": "817-752-9662",
            "fax_number": "682-400-8251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUNDGREN",
        "first_name": "KATHERINE",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "108093",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TX",
            "license": "108093",
            "primary": true
        },
        {
            "code": "224ZF0002X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant, Feeding, Eating & Swallowing",
            "state": "TX",
            "license": "108093",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; 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.