Individual provider Active NPI

Katherine Ryan, OTR/L

  • Occupational Therapist
  • Sudbury, MA
National Provider Identifier
1386370344
Registry record updated Jul 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
13643 Issued in MA
Practice address
490 Boston Post Rd
Sudbury, MA 01776-3367
Phone
(978) 631-3201
NPI assigned
Jul 31, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 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 13643 MA Primary

Addresses

Primary practice location

490 Boston Post Rd
Sudbury, MA 01776-3367

Mailing address

490 Boston Post Rd
Sudbury, MA 01776-3367

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
13643MAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1659225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659225600000",
    "number": "1386370344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 BOSTON POST RD",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017763367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 BOSTON POST RD",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017763367",
            "telephone_number": "978-631-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "KATHERINE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-31",
        "last_updated": "2022-07-31",
        "certification_date": "2022-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "13643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sudbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2022; 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.