Individual provider Active NPI

Christine Rae Naccarato, OTR/L

  • Occupational Therapist
  • Pittsburg, KS
National Provider Identifier
1588953533
Registry record updated Mar 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1702466 Issued in KS
Practice address
1 Mt Carmel Way
Pittsburg, KS 66762-7587
Phone
(620) 231-6100
NPI assigned
Mar 30, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 1702466 KS Primary
Occupational Therapist 225X00000X 2004001292 MO

Addresses

Primary practice location

1 Mt Carmel Way
Pittsburg, KS 66762-7587

Mailing address

508 W Euclid St
Pittsburg, KS 66762-5014
Phone (572) 289-0267

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
1702466KSMDOccupational Therapist
2004001292MOMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1301443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301443200000",
    "number": "1588953533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 W EUCLID ST",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667625014",
            "telephone_number": "572-289-0267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MT CARMEL WAY",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667627587",
            "telephone_number": "620-231-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NACCARATO",
        "first_name": "CHRISTINE",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-30",
        "last_updated": "2011-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KS",
            "license": "1702466",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2004001292",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburg, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2011; 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.