Kathryn Gene Kittaka, DOT, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

225X00000X Issued in IN

Practice address

890 E 116TH St Ste 142
Carmel, IN 46032-3476

Phone

(317) 688-8232

Fax

(866) 512-2250

NPI assigned

Jan 13, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthpro Heritage Rehab and Fitness LLCGroup PAC ID 6507832573, 976 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Merrillville, IN
  • NPI 1053833657

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Independence, MO
  • NPI 1871072462

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1437748431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 E 116TH ST STE 142",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460323476",
            "telephone_number": "317-688-8232",
            "fax_number": "866-512-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 E 116TH ST STE 142",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460323476",
            "telephone_number": "317-688-8232",
            "fax_number": "866-512-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITTAKA",
        "first_name": "KATHRYN",
        "middle_name": "GENE",
        "credential": "DOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-13",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "225X00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIORITY WELLNESS AND REHAB LL",
            "identifier": "1326686049",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Carmel",
            "affiliation": "N",
            "address_1": "890 E 116th St Ste 142",
            "city": "Carmel",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460323476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Robert Kirk Jr., PA-C
• Carrie Kirkpatrick
• Katherine Kirkpatrick, LCSW
• Brigid Ann Kirlin, PMHNP-BC
• Regan Nicole Kirsch, RN
• Mary Kitterman, RDN
• Aaron John Kivisto, PH.D.
• Chris D'Wayne Kizer, COTA/L
• Stephen Roth Klapper, MD FACS
• Seth H. Kleiman, M.A., LMHC

• Occupational Therapist in Carmel, IN
• Providers in Carmel, IN by specialty
• Occupational Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.