NPIMap

Individual provider Active NPI

Kathryn Marie Cross, OTR/L

  • Occupational Therapist
  • Centralia, WA
National Provider Identifier
1255608972
Registry record updated Nov 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT60146553 Issued in WA
Practice address
914 S Scheuber Road
Providence Centralia Hospital
Centralia, WA 98532
Phone
(360) 330-8720
Fax
(360) 330-8737
NPI assigned
Nov 23, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2011

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 OT60146553 WA Primary
Feeding, Eating & Swallowing Occupational Therapist 225XF0002X OT60146553 WA

Addresses

Primary practice location

914 S Scheuber Road
Providence Centralia Hospital
Centralia, WA 98532

Mailing address

914 S Scheuber Road
Providence Centralia Hospital
Centralia, WA 98532
Phone (360) 330-8720

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
OT60146553WAMDFeeding, Eating & Swallowing Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1322006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322006400000",
    "number": "1255608972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 S SCHEUBER ROAD",
            "address_2": "PROVIDENCE CENTRALIA HOSPITAL",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "98532",
            "telephone_number": "360-330-8720",
            "fax_number": "360-330-8737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 S SCHEUBER ROAD",
            "address_2": "PROVIDENCE CENTRALIA HOSPITAL",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "98532",
            "telephone_number": "360-330-8720",
            "fax_number": "360-330-8737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSS",
        "first_name": "KATHRYN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-23",
        "last_updated": "2011-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT60146553",
            "primary": true
        },
        {
            "code": "225XF0002X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Feeding, Eating & Swallowing",
            "state": "WA",
            "license": "OT60146553",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centralia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2011; 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.