Individual provider Active NPI

Kate Easter, OTR/L

  • Occupational Therapist
  • Cape Girardeau, MO
National Provider Identifier
1548928872
Registry record updated Dec 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2009026806 Issued in MO
Practice address
2137 William Street
Cape Girardeau, MO 63703-5817
Phone
(573) 803-3338
Fax
(844) 579-0089
NPI assigned
Dec 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2009026806 MO Primary

Addresses

Primary practice location

2137 William Street
Cape Girardeau, MO 63703-5817

Mailing address

312 Stepping Stone Way
Cape Girardeau, MO 63701-8388
Phone (573) 803-3338

Other names 1

  • Kate Koch Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211206001088 MO Practitioner - Occupational Therapist in Private Practice 9830589878 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Dysphagia Diagnostics and Speech Services, LLCGroup PAC ID 8527491760, 6 clinicians

Practice addresses (Care Compare)

2137 William St
Elite Mobile Therapy and Wellness
Cape Girardeau, MO 63703-5817
Phone (573) 803-3338

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Dysphagia Diagnostics & Speech Services, LLC Occupational Therapist CurrentSince Dec 3, 2021 Accepting new patients
Bluff Area Therapy Center, LLC Occupational Therapist PastSince Dec 5, 2021 Accepting new patients

Locations

2137 William St
Cpe Girardeau, MO 63703
Phone (573) 270-5064

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1638489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638489600000",
    "number": "1548928872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 STEPPING STONE WAY",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637018388",
            "telephone_number": "573-803-3338",
            "fax_number": "844-579-0089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2137 WILLIAM STREET",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637035817",
            "telephone_number": "573-803-3338",
            "fax_number": "844-579-0089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASTER",
        "first_name": "KATE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-03",
        "last_updated": "2021-12-03",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2009026806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATE",
            "last_name": "KOCH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cape Girardeau, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.