Individual provider Active NPI

Kathryn Lynn Mitchell, MS, OTR/L

  • Pediatric Occupational Therapist
  • Naples, FL
National Provider Identifier
1548699879
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT 16013 Issued in FL
Practice address
1421 Pine Ridge Rd Ste 120
Naples, FL 34109-2116
Phone
(239) 597-0935
Fax
(239) 610-1462
NPI assigned
Nov 7, 2013
Last updated
May 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X OT 16013 FL Primary

Addresses

Primary practice location

1421 Pine Ridge Rd Ste 120
Naples, FL 34109-2116

Mailing address

1421 Pine Ridge Rd Ste 120
Naples, FL 34109-2116
Phone (239) 597-0935

Other names 1

  • Kathryn Millard Former name

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
OT 16013FLMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
North Naples Therapy & Enrichment Services, P.a. Pediatrics CurrentSince Nov 1, 2019 Accepting new patients

Locations

1421 Pine Ridge Rd
Ste 120
Naples, FL 34109
Phone (239) 597-0935

6734 Lone Oak Blvd
Naples, FL 34109
Phone (239) 597-0935

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1383782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1548699879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 PINE RIDGE RD STE 120",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341092116",
            "telephone_number": "239-597-0935",
            "fax_number": "239-610-1462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 PINE RIDGE RD STE 120",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341092116",
            "telephone_number": "239-597-0935",
            "fax_number": "239-610-1462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "KATHRYN",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-07",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "OT 16013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "MILLARD",
            "credential": "MS, OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.