Individual provider Active NPI

Katelyn Farr, COTA/L

  • Occupational Therapy Assistant
  • Santee, CA
National Provider Identifier
1417617408
Registry record updated Dec 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
5451 Issued in CA
Practice address
8840 N Magnolia Ave Ste 220
Santee, CA 92071-4516
Phone
(619) 749-7059
NPI assigned
Dec 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2021

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 5451 CA Primary

Addresses

Primary practice location

8840 N Magnolia Ave Ste 220
Santee, CA 92071-4516

Mailing address

10561 Kerrigan CT
Santee, CA 92071-1209
Phone (619) 933-4361

Other practice location 1

7525 Metropolitan Dr Ste 308
San Diego, CA 92108-4412
Phone (619) 692-0622

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
5451CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kara Dodds and Associates, Inc PastSince May 10, 2020 Accepting new patients
Kara Dodds and Associates, Inc PastSince Dec 26, 2021 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": "1639785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639785600000",
    "number": "1417617408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10561 KERRIGAN CT",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920711209",
            "telephone_number": "619-933-4361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8840 N MAGNOLIA AVE STE 220",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920714516",
            "telephone_number": "619-749-7059"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7525 Metropolitan Dr Ste 308",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921084412",
            "country_code": "US",
            "telephone_number": "619-692-0622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARR",
        "first_name": "KATELYN",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-18",
        "last_updated": "2021-12-18",
        "certification_date": "2021-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": "5451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santee, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2021; 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.