Individual provider Active NPI

Katelyn Elizabeth McQuate, COTA/L

  • Occupational Therapy Assistant
  • Anchorage, AK
National Provider Identifier
1356778062
Registry record updated Sep 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
2663 Issued in AK
Practice address
6311 Debarr Rd
Unit J
Anchorage, AK 99504-1787
Phone
(907) 350-3840
NPI assigned
Sep 26, 2013
Last updated
Sep 26, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 2663 AK Primary

Addresses

Primary practice location

6311 Debarr Rd
Unit J
Anchorage, AK 99504-1787

Mailing address

5432 E Northern Lights Blvd
#427
Anchorage, AK 99508-4713
Phone (907) 350-3840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2663AKMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeskills LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1380153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380153600000",
    "number": "1356778062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5432 E NORTHERN LIGHTS BLVD",
            "address_2": "#427",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084713",
            "telephone_number": "907-350-3840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6311 DEBARR RD",
            "address_2": "UNIT J",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995041787",
            "telephone_number": "907-350-3840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCQUATE",
        "first_name": "KATELYN",
        "middle_name": "ELIZABETH",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-26",
        "last_updated": "2013-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AK",
            "license": "2663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; 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.