Active NPI
Kathleen Elizabeth Yancosek, PHD, OTR/L
- Hand Occupational Therapist
- Wasilla, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- 212462
- Practice address
- 650 N Shoreline Dr
Wasilla, AK 99654-6615 - Phone
- (907) 376-6363
- Fax
- (907) 376-6366
- NPI assigned
- Jul 19, 2023
- 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 |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | OC006201L | PA | |
| Hand Occupational Therapist | 225XH1200X | 212462 | AK | Primary |
Addresses
Primary practice location
650 N Shoreline Dr
Wasilla, AK 99654-6615
Mailing address
650 N Shoreline Dr
Wasilla, AK 99654-6615
Phone (907) 376-6363
Other practice location 1
11432 Business Blvd Ste 18
Eagle River, AK 99577-7740
Phone (907) 376-6363
Other practice location 2
4015 Lake Otis Pkwy Ste 200
Anchorage, AK 99508-5235
Phone (907) 770-6363
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 212462 | Other | AK | OCCUPATIONAL THERAPY LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
650 N Shoreline Dr
Wasilla, AK 99654-6677
Phone (907) 376-6363
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.68 of 100
- Quality
- 52.97
- Promoting interoperability
- 88
- Improvement activities
- 40
- Cost
- 73.9
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OC006201L | PA | MD | Hand Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Quest Therapy, Inc. | Hand | Current | Accepting new patients |
| Orthoalaska, LLC | Past | Accepting new patients | |
| Orthoalaska LLC | Past | Accepting new patients |
Locations
4015 Lake Otis Pkwy
Ste 200
Anchorage, AK 99508
Phone (907) 563-8318
11432 Business Blvd
Ste 18
Eagle River, AK 99577
Phone (907) 376-6363
650 N Shoreline Dr
Wasilla, AK 99654
Phone (907) 376-6363
8513 NE Hazel Dell Ave
Ste 102
Vancouver, WA 98665
Phone (800) 594-8043
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 3
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.
-
- Rheumatology Physician
- Anchorage, AK
- NPI 1265293252
-
- Durable Medical Equipment & Medical Supplies
- Wasilla, AK
- NPI 1043698491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745884800000",
"number": "1306526017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 N SHORELINE DR",
"city": "WASILLA",
"state": "AK",
"postal_code": "996546615",
"telephone_number": "907-376-6363",
"fax_number": "907-376-6366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 N SHORELINE DR",
"city": "WASILLA",
"state": "AK",
"postal_code": "996546615",
"telephone_number": "907-376-6363",
"fax_number": "907-376-6366"
}
],
"practiceLocations": [
{
"address_1": "11432 Business Blvd Ste 18",
"address_purpose": "LOCATION",
"city": "Eagle River",
"state": "AK",
"postal_code": "995777740",
"country_code": "US",
"telephone_number": "907-376-6363",
"fax_number": "907-376-6366",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4015 Lake Otis Pkwy Ste 200",
"address_purpose": "LOCATION",
"city": "Anchorage",
"state": "AK",
"postal_code": "995085235",
"country_code": "US",
"telephone_number": "907-770-6363",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YANCOSEK",
"first_name": "KATHLEEN",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "PHD, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-19",
"last_updated": "2025-04-29",
"certification_date": "2025-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "PA",
"license": "OC006201L",
"primary": false
},
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "AK",
"license": "212462",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OCCUPATIONAL THERAPY LICENSE",
"identifier": "212462",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wasilla, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; 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.