Individual provider Active NPI

Katherine Vera, COTA

  • Occupational Therapy Assistant
  • Colorado Springs, CO
National Provider Identifier
1356896401
Registry record updated Aug 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OTA.0000786 Issued in CO
Practice address
411 Lakewood Cir
Ste A104
Colorado Springs, CO 80910-2617
Phone
(719) 332-4689
Fax
(719) 282-1449
NPI assigned
Aug 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2016

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 OTA.0000786 CO Primary

Addresses

Primary practice location

411 Lakewood Cir
Ste A104
Colorado Springs, CO 80910-2617

Mailing address

411 Lakewood Cir
Ste A104
Colorado Springs, CO 80910-2617
Phone (719) 332-4689

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
OTA.0000786COMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Katey Blehm M.a. CCC-SLP Past Accepting new patients
Katey Blehm M.a. CCC-SLP Past Accepting new patients

Organizations & group practices 2

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": "1471478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471478400000",
    "number": "1356896401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 LAKEWOOD CIR",
            "address_2": "STE A104",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809102617",
            "telephone_number": "719-332-4689",
            "fax_number": "719-282-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 LAKEWOOD CIR",
            "address_2": "STE A104",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809102617",
            "telephone_number": "719-332-4689",
            "fax_number": "719-282-1449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERA",
        "first_name": "KATHERINE",
        "name_prefix": "Mrs.",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-18",
        "last_updated": "2016-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CO",
            "license": "OTA.0000786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; 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.