Individual provider Active NPI

Kate Elizabeth Decleene, OTD, MS, OTR

  • Specialist
  • Indianapolis, IN
National Provider Identifier
1255544318
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
31003710A Issued in IN
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, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
OTCAMDSpecialist
31003710AINMDSpecialist
OTWIMDSpecialist

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.

Verify at the official NPI Registry.