Katherine Rose Liles, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT004751 Issued in GA

Practice address

1004 Edgewater Dr
Albany, GA 31707-3749

Phone

(229) 894-1353

NPI assigned

Jun 20, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Katherine Rose Johnson Former name

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Weston Group IncGroup PAC ID 8123936796, 215 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Live to the Max LLC

  • Occupational Therapist
  • Canton, GA
  • NPI 1003693870
  Medicare reassignment NPD Authorized official
• The Weston Group Inc.

  • Physical Therapist
  • Acworth, GA
  • NPI 1841309101

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• The Weston Group Inc.

  • Physical Therapist
  • Easton, PA
  • NPI 1750250759
  NPD

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

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1336300441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 BRIDGEWATER TRL",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301154566",
            "telephone_number": "229-894-1353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 EDGEWATER DR",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317073749",
            "telephone_number": "229-894-1353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILES",
        "first_name": "KATHERINE",
        "middle_name": "ROSE",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-20",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT004751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "JOHNSON",
            "middle_name": "ROSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nardriana K Lewis
• Liberty Bell Solutions LLC
• Life Therapy, Inc.
• Lifeline Vascular Center - Albany, LLC
• Susan Lightle, MS, CCC-SLP
• George Arthur Lilly Sr.
• Magdalene Lima-Fiallos, MS, CCC-SLP
• Limbcare Prosthetics & Orthotics of Ga
• Limbcare Prosthetics & Orthotics of Georgia Inc
• Limbcare Prosthetics & Orthotics of Georgia Inc

• Occupational Therapist in Albany, GA
• Providers in Albany, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; 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.