Active NPI
Katelyn Ilene Gilley, MSOT
- Occupational Therapist
- Kent, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 25012 104TH Ave SE Ste C
Kent, WA 98030-2821 - Phone
- (253) 856-3477
- Fax
- (253) 856-3478
- NPI assigned
- Sep 19, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 123036 | TX | |
| Occupational Therapist | 225X00000X | WA | Primary |
Addresses
Primary practice location
25012 104TH Ave SE Ste C
Kent, WA 98030-2821
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Other practice location 1
12708 Riata Vista Cir Ste A106
Austin, TX 78727-7174
Phone (512) 795-2422
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
25012 104TH Ave SE
Suite C
Kent, WA 98030-2821
Phone (253) 856-3477
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 123036 | TX | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apple Physical Therapy, LLC | Occupational Therapist | Current | Accepting new patients |
| Apple Physical Therapy LLC | Occupational Therapist | Current | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
4220 Hoyt Ave
Everett, WA 98203
Phone (425) 258-5330
32030 23rd Ave S
Federal Way, WA 98003
Phone (253) 946-4852
25012 104th Ave SE
Ste C
Kent, WA 98030
Phone (253) 856-3477
130 Marvin Rd SE
Ste 203
Lacey, WA 98503
Phone (360) 456-3300
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Mountlake Terrace, WA
- NPI 1366746232
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721088000000",
"number": "1285356006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25012 104TH AVE SE STE C",
"city": "KENT",
"state": "WA",
"postal_code": "980302821",
"telephone_number": "253-856-3477",
"fax_number": "253-856-3478"
}
],
"practiceLocations": [
{
"address_1": "12708 Riata Vista Cir Ste A106",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787277174",
"country_code": "US",
"telephone_number": "512-795-2422",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GILLEY",
"first_name": "KATELYN",
"middle_name": "ILENE",
"credential": "MSOT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-19",
"last_updated": "2024-07-16",
"certification_date": "2024-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "TX",
"license": "123036",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kent, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.