Individual provider Active NPI

Katherine Ellen Gatley, OTR, CHT

  • Occupational Therapist
  • San Diego, CA
National Provider Identifier
1578887303
Registry record updated Mar 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT1030 Issued in CA
Practice address
3666 Kearny Villa Rd
Suite 308
San Diego, CA 92123-1951
Phone
(858) 505-5460
Fax
(858) 505-5479
NPI assigned
Mar 23, 2010
Last updated
Mar 23, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2010

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 OT1030 CA Primary

Addresses

Primary practice location

3666 Kearny Villa Rd
Suite 308
San Diego, CA 92123-1951

Mailing address

3666 Kearny Villa Rd
Suite 308
San Diego, CA 92123-1951
Phone (858) 505-5460

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
OT1030CAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1269302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269302400000",
    "number": "1578887303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3666 KEARNY VILLA RD",
            "address_2": "SUITE 308",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231951",
            "telephone_number": "858-505-5460",
            "fax_number": "858-505-5479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3666 KEARNY VILLA RD",
            "address_2": "SUITE 308",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231951",
            "telephone_number": "858-505-5460",
            "fax_number": "858-505-5479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATLEY",
        "first_name": "KATHERINE",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "OTR, CHT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-23",
        "last_updated": "2010-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT1030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; 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.