Kathryn PW Ewert, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT.0006653 Issued in CO

Practice address

2451 S Timberline Rd Apt 8-201
Fort Collins, CO 80525-4174

Phone

(785) 341-1131

NPI assigned

Jun 11, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Kathryn P Wagner Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1370908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1245678200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 S TIMBERLINE RD APT 8-201",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254174",
            "telephone_number": "785-341-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 S TIMBERLINE RD APT 8-201",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254174",
            "telephone_number": "785-341-1131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1567 Westview Ct",
            "address_purpose": "LOCATION",
            "city": "Laramie",
            "state": "WY",
            "postal_code": "820706081",
            "country_code": "US",
            "telephone_number": "785-341-1131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EWERT",
        "first_name": "KATHRYN",
        "middle_name": "PW",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-11",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WY",
            "license": "COTA-1005",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT.0006653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "WAGNER",
            "middle_name": "P",
            "credential": "COTA/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Kaitlyn Ann Ewan, LCSW
• Stacey Ewan, MS
• Julia Ewanowski, LCSW
• Marissa Ewell
• Andrea Rochelle Ewing, LCSW, MSW
• Breke Ewton
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• Occupational Therapist in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Occupational Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.