Individual provider Active NPI

Kaci Wellik, OTD, OTR/L

  • Occupational Therapist
  • Scottsdale, AZ
National Provider Identifier
1356014658
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
9821 E Bell Rd
Scottsdale, AZ 85260-2344
Phone
(602) 697-3457
Fax
(480) 777-2355
NPI assigned
Aug 1, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Primary

Addresses

Primary practice location

9821 E Bell Rd
Scottsdale, AZ 85260-2344

Mailing address

521 W Saint John Rd
Phoenix, AZ 85023-6583
Phone (512) 925-2099

Other practice location 1

42211 N 41st Dr Ste 145
Anthem, AZ 85086-3812
Phone (602) 808-9912 ext. 701

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230210001205 AZ Practitioner - Occupational Therapist in Private Practice 0547632994 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Rehabilitation, LLC Occupational Therapist CurrentSince Feb 3, 2023 Accepting new patients
Empowerme Rehabilitation, LLC Occupational Therapist CurrentSince Feb 3, 2023 Accepting new patients
Pediatric Therapy Solutions, PLLC PastSince Jul 24, 2022 Accepting new patients

Locations

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

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": "1627776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1356014658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 W SAINT JOHN RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850236583",
            "telephone_number": "512-925-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9821 E BELL RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602344",
            "telephone_number": "602-697-3457",
            "fax_number": "480-777-2355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "42211 N 41st Dr Ste 145",
            "address_purpose": "LOCATION",
            "city": "Anthem",
            "state": "AZ",
            "postal_code": "850863812",
            "country_code": "US",
            "telephone_number": "602-808-9912 x701",
            "fax_number": "602-875-0385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELLIK",
        "first_name": "KACI",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-01",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.