Individual provider Active NPI

Kathleen Elizabeth Yancosek, PHD, OTR/L

  • Hand Occupational Therapist
  • Wasilla, AK
National Provider Identifier
1306526017
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
212462 Issued in AK
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

Updated by the provider on Apr 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
212462OtherAKOCCUPATIONAL THERAPY LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231031000750 AK Practitioner - Occupational Therapist in Private Practice 5193171965 Reassigns benefits to 1 organization

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
Health Quest Therapy IncGroup PAC ID 5597744037, 10 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
OC006201LPAMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Health Quest Therapy, Inc. Hand CurrentSince Sep 1, 2024 Accepting new patients
Orthoalaska, LLC PastSince Jul 1, 2023 Accepting new patients
Orthoalaska LLC PastSince Jan 21, 2024 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

  • FHIR API: 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.

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.

Verify at the official NPI Registry.