Kathryn Marie Gallik Maccallum, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT 60279237 Issued in WA

Practice address

1983 Legendary LN SE
East Wenatchee, WA 98802

Phone

(509) 670-9627

NPI assigned

Jan 17, 2014

Last updated

Aug 16, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Katie Gallik Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Treehouse Therapy, LLC

  • Occupational Therapist
  • East Wenatchee, WA
  • NPI 1487145330
  NPD Authorized official

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

{
    "created_epoch": "1389916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534377600000",
    "number": "1417379900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1983 LEGENDARY LN SE",
            "city": "EAST WENATCHEE",
            "state": "WA",
            "postal_code": "988029401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1983 LEGENDARY LN SE",
            "city": "EAST WENATCHEE",
            "state": "WA",
            "postal_code": "98802",
            "telephone_number": "509-670-9627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACCALLUM",
        "first_name": "KATHRYN",
        "middle_name": "MARIE GALLIK",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-17",
        "last_updated": "2018-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT 60279237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "GALLIK",
            "prefix": "MS.",
            "credential": "OTR/L",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Crystal Pada Lewis, PHARMD
• Michael Liebelt, LMHC
• Kate Loebsack
• Kalie Looper
• Michele Love-Wells, FNP-C
• Heather Noel Macneil, OTR/L
• Tracy S Malikowski, LMP
• Hilary Kathleen Mann, LMP
• Cynthia Martinez Morales
• Megan R McCart, LAT, ATC

• Occupational Therapist in East Wenatchee, WA
• Providers in East Wenatchee, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; 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.