Kalie Tate, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

330914 Issued in LA

Practice address

1714 Wolf Cir
Lake Charles, LA 70605-2353

Phone

(337) 508-2505

Fax

(337) 508-2506

NPI assigned

May 18, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialty

Occupational Therapist in Private Practice

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Maxx Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Lake Charles, LA
  • NPI 1255964110

  Occupational Therapist

  NPD
• Maxx Therapy of Lake Charles LLC

  • Physical Therapist
  • Lake Charles, LA
  • NPI 1235953035

  Occupational Therapist

  NPD
• Therapy Works of Swla LLC

  • Occupational Therapist
  • Lake Charles, LA
  • NPI 1861993354
  NPD (past)

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

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1518604792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1714 WOLF CIR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706052353",
            "telephone_number": "337-508-2505",
            "fax_number": "337-508-2506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 WOLF CIR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706052353",
            "telephone_number": "337-508-2505",
            "fax_number": "337-508-2506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4750 Lake St",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706056008",
            "country_code": "US",
            "telephone_number": "337-477-7883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TATE",
        "first_name": "KALIE",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-18",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": "330914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenyettra Tasker, BA
• Emily Deanna Tassin, PHYSICIAN ASSISTANT
• Joseph Paul Tassin Jr., DDS
• Tammy Tate-Gobert, ANP-C
• Joseph Troy Tate, BS
• Sarah Tate, SLP
• Whitney Janae Tate, PA-C
• Lakshmi Tatineni, MD
• Alexandra G Taylor, PHARM.D.
• Jacqueline Taylor, APRN, PMHNP-BC

• Occupational Therapist in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Occupational Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.