Individual provider Active NPI

Wendy L. Kathol, COTA

  • Occupational Therapy Assistant
  • Lincoln, NE
National Provider Identifier
1467654087
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
236 Issued in NE
Practice address
4405 Normal Blvd
Lincoln, NE 68506-5551
Phone
(402) 484-4512
Fax
(402) 488-2779
NPI assigned
Jun 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 236 NE Primary
Occupational Therapy Assistant 224Z00000X 733 IA

Addresses

Primary practice location

4405 Normal Blvd
Lincoln, NE 68506-5551

Mailing address

7402 S 189TH St
Omaha, NE 68136-1274
Phone (402) 614-1647

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
236NEMDCounselor
733IAMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467654087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7402 S 189TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681361274",
            "telephone_number": "402-614-1647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 NORMAL BLVD",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685065551",
            "telephone_number": "402-484-4512",
            "fax_number": "402-488-2779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATHOL",
        "first_name": "WENDY",
        "middle_name": "L.",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NE",
            "license": "236",
            "primary": true
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IA",
            "license": "733",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.