Active NPI
Kathryna Montayre Gomez, MAOT, OTR/L
- Occupational Therapist
- Woodland Hills, CA
National Provider Identifier
1386152098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT17955
- Practice address
- 20501 Ventura Blvd
Woodland Hills, CA 91364-2337 - Phone
- (818) 343-3900
- NPI assigned
- Jan 16, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT17955 | CA | Primary |
Addresses
Primary practice location
20501 Ventura Blvd
Woodland Hills, CA 91364-2337
Mailing address
12045 Keswick St Apt 302
North Hollywood, CA 91605-3060
Phone (929) 434-0090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
20501 Ventura Blvd
Suite 380
Woodland Hills, CA 91364-6432
Phone (818) 343-3900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT17955 | CA | MD | Occupational Therapist |
| 17955 | CA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Savina Kollmorgen & Maria Katz Physical Therapist Prof Corp | Current | Accepting new patients |
Locations
20501 Ventura Blvd
Ste 380
Woodland Hls, CA 91364
Phone (818) 343-3900
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 and National Provider Directory roles.
-
- Physical Therapist
- Tarzana, CA
- NPI 1184771214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516060800000",
"number": "1386152098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12045 KESWICK ST APT 302",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916053060",
"telephone_number": "929-434-0090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20501 VENTURA BLVD",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913642337",
"telephone_number": "818-343-3900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "KATHRYNA",
"middle_name": "MONTAYRE",
"credential": "MAOT, OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-16",
"last_updated": "2018-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "OT17955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodland Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2018; 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.