Kacie Elizabeth Poage, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

1919 Creston Rd
Paso Robles, CA 93446-4401

Phone

(805) 257-1050

Fax

(805) 591-4983

NPI assigned

Oct 15, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Goodwill Industries of Northern New England

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Portland, ME
  • NPI 1588785463

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1346492998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 CRESTON RD",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934464401",
            "telephone_number": "207-838-7019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 CRESTON RD",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934464401",
            "telephone_number": "805-257-1050",
            "fax_number": "805-591-4983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POAGE",
        "first_name": "KACIE",
        "middle_name": "ELIZABETH",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-15",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Phelps
• Philip C. Peterson, a Professional Chiropractic Corporation
• Ricky D Phillips, D.C.
• Juan Manuel Plascencia Lizaola Jr., LCSW
• Laura Diane Plascencia, MS CFY-SLP
• Megan Marie Pollock, PHD
• Deanna Porter, RN
• Georgianna Potter, RPH
• Manouchehr Pouresmail, DMD, DDS, MSC
• Eva Marie Prado

• Occupational Therapist in Paso Robles, CA
• Providers in Paso Robles, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; 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.