Individual provider Active NPI

Katherine E Koman, OTL

  • Ergonomics Occupational Therapist
  • Williamsburg, VA
National Provider Identifier
1528568896
Registry record updated Feb 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ergonomics Occupational TherapistTaxonomy code 225XE1200X
License
0119001518 Issued in VA
Practice address
700 Penniman Rd
Williamsburg, VA 23185-5330
Phone
(757) 220-4067
NPI assigned
Feb 13, 2018
Last updated
Feb 13, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ergonomics Occupational Therapist 225XE1200X 0119001518 VA Primary

Addresses

Primary practice location

700 Penniman Rd
Williamsburg, VA 23185-5330

Mailing address

700 Penniman Rd
Williamsburg, VA 23185-5330
Phone (757) 220-4067

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1993
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7950 Dani Dr
Fort Myers, FL 33966-8012

7950 Dani Dr
Fort Myers, FL 33966-8015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0119001518VAMDErgonomics Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1518480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518480000000",
    "number": "1528568896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 PENNIMAN RD",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231855330",
            "telephone_number": "757-220-4067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 PENNIMAN RD",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231855330",
            "telephone_number": "757-220-4067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOMAN",
        "first_name": "KATHERINE",
        "middle_name": "E",
        "credential": "OTL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-13",
        "last_updated": "2018-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XE1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Ergonomics",
            "state": "VA",
            "license": "0119001518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2018; 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.