Individual provider Active NPI

Kathy S Nelson, OTR/L, CHT

  • Occupational Therapist
  • Columbia, MO
National Provider Identifier
1437469863
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
4004 Peach CT Ste H
Columbia, MO 65203-3800
Phone
(573) 256-8100
Fax
(573) 256-8104
NPI assigned
Oct 19, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 004272 MO
Occupational Therapist 225X00000X Primary

Addresses

Primary practice location

4004 Peach CT Ste H
Columbia, MO 65203-3800

Mailing address

1739 Elm CT
Ste 205206
Jefferson City, MO 65101-4303
Phone (630) 575-1980

Other names 1

  • Kathy S Orozco Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190402002175 MO Practitioner - Occupational Therapist in Private Practice 5193066009 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Outbound Rehabilitation and Wellness LLCGroup PAC ID 1850543711, 8 clinicians

Practice addresses (Care Compare)

1739 Elm CT
Suite 205206
Jefferson City, MO 65101-4303
Phone (573) 681-0447

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Outbound Rehabilitation & Wellness LLC Occupational Therapist CurrentSince Mar 18, 2021 Accepting new patients

Locations

1739 Elm Ct
Ste 205
Jefferson City, MO 65101
Phone (573) 681-0447

3600 Country Club Dr
Ste 530B
Jefferson City, MO 65109
Phone (573) 606-7100

1739 Elm Ct
Ste 205206
Jefferson Cty, MO 65101
Phone (573) 606-7100

Interoperability endpoints

  • Direct secure messaging: kathy.nelson.p2@direct.athleticoltd.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1287446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1437469863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1739 ELM CT",
            "address_2": "STE 205206",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651014303",
            "telephone_number": "630-575-1980",
            "fax_number": "630-928-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4004 PEACH CT STE H",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652033800",
            "telephone_number": "573-256-8100",
            "fax_number": "573-256-8104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "KATHY",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "OTR/L, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-19",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "MO",
            "license": "004272",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHY",
            "last_name": "OROZCO",
            "middle_name": "S",
            "credential": "OTR/L, CHT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.

Verify at the official NPI Registry.