Individual provider Active NPI

Katherine Sher, OTD, OTR/L

  • Occupational Therapist
  • Beavercreek, OH
National Provider Identifier
1396132379
Registry record updated Apr 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
116859 Issued in TX
Practice address
3817 Colonel Glenn Hwy
Beavercreek, OH 45324-2268
Phone
(937) 427-9200
NPI assigned
Apr 17, 2015
Last updated
Apr 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 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 116859 TX Primary

Addresses

Primary practice location

3817 Colonel Glenn Hwy
Beavercreek, OH 45324-2268

Mailing address

PO Box 411169
Boston, MA 02241-1169

Other practice location 1

2665 Royal Frst
Suite B-90
Kingwood, TX 77339-5045
Phone (281) 358-0577

Other identifiers 1

IdentifierTypeStateIssuer
0406425MedicaidOH

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

Practice roles

OrganizationSpecialtyStatusNew patients
Abc Pediatric Therapy LLC Occupational Therapist PastSince Apr 17, 2022 Accepting new patients
Kingwood Speech Pathology Services, PLLC PastSince Aug 1, 2018 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, 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": "1429228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649980800000",
    "number": "1396132379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 411169",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022411169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3817 COLONEL GLENN HWY",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "453242268",
            "telephone_number": "937-427-9200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2665 Royal Frst",
            "address_2": "Suite B-90",
            "address_purpose": "LOCATION",
            "city": "Kingwood",
            "state": "TX",
            "postal_code": "773395045",
            "country_code": "US",
            "telephone_number": "281-358-0577",
            "fax_number": "281-357-1520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHER",
        "first_name": "KATHERINE",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-17",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "116859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0406425",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beavercreek, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.