Katy Lynn Metcalf, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT21040 Issued in CA

Practice address

300 Freedom LN
Aliso Viejo, CA 92656-0001

Phone

(949) 643-1050

NPI assigned

Apr 27, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Select Rehabilitation, LLC

  • Rehabilitation Clinic/Center
  • Glenview, IL
  • NPI 1346368248

  AZ, Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Rehabcare Group East, LLC

  • Rehabilitation Clinic/Center
  • Laguna Hills, CA
  • NPI 1033161849
  NPD (past)
• Quality Therapy & Consultation, Inc.

  • Physical Therapist
  • Orland Park, IL
  • NPI 1982633715

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1430092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1639556897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 SHERWOOD DR",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926565282",
            "telephone_number": "708-519-0284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 FREEDOM LN",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926560001",
            "telephone_number": "949-643-1050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16170 Kingsport Rd",
            "address_purpose": "LOCATION",
            "city": "Orland Park",
            "state": "IL",
            "postal_code": "604675602",
            "country_code": "US",
            "telephone_number": "708-326-1550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "METCALF",
        "first_name": "KATY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-27",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.010480",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT21040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medequip, Inc
• Medequip, Inc
• Pratik D. Mehta, M.D.
• Memorialcare Medical Group, Inc.
• Fatima Mendoza, LPCC 17018
• Marie Miao, LCSW
• Melissa Mihalick
• Angela Rose Miller, D.O.
• Judith Ann Miller
• Timothy Robert Miller, M.D.

• Occupational Therapist in Aliso Viejo, CA
• Providers in Aliso Viejo, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.