Active NPI
Kate Elizabeth Decleene, OTD, MS, OTR
- Specialist
- Indianapolis, IN
National Provider Identifier
1255544318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 31003710A
- Practice address
- 5905 S Emerson Ave
Suite 400
Indianapolis, IN 46237-2402 - Phone
- (317) 782-8888
- Fax
- (317) 788-4640
- NPI assigned
- May 7, 2007
- Last updated
- Mar 3, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 31003710A | IN | Primary |
| Specialist | 174400000X | OT | WI | |
| Specialist | 174400000X | OT | CA |
Addresses
Primary practice location
5905 S Emerson Ave
Suite 400
Indianapolis, IN 46237-2402
Mailing address
7494 Charrington CT
Indianapolis, IN 46254-9682
Phone (317) 328-5242
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT | CA | MD | Specialist |
| 31003710A | IN | MD | Specialist |
| OT | WI | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204502400000",
"number": "1255544318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7494 CHARRINGTON CT",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462549682",
"telephone_number": "317-328-5242",
"fax_number": "317-788-3542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5905 S EMERSON AVE",
"address_2": "SUITE 400",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462372402",
"telephone_number": "317-782-8888",
"fax_number": "317-788-4640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECLEENE",
"first_name": "KATE",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "OTD, MS, OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-07",
"last_updated": "2008-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IN",
"license": "31003710A",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WI",
"license": "OT",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "OT",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.