Kaitlin Thompson, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

084085 Issued in IA

Practice address

2854 Coral Court, Ste 1
On With Life Outpatient Neuro Rehabilitation
Coralville, IA 52241-2809

Phone

(319) 259-6224

Fax

(319) 249-6643

NPI assigned

Dec 10, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

One Strong Woman Therapy LLCGroup PAC ID 0547738171, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• One Strong Woman Therapy, LLC

  • Occupational Therapist
  • Davenport, IA
  • NPI 1669168746
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575936000000",
    "number": "1669019576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 SW ANKENY RD",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500235999",
            "telephone_number": "515-289-9696",
            "fax_number": "515-289-9649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2854 CORAL COURT, STE 1",
            "address_2": "ON WITH LIFE OUTPATIENT NEURO REHABILITATION",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412809",
            "telephone_number": "319-259-6224",
            "fax_number": "319-249-6643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "KAITLIN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-10",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IA",
            "license": "084085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42-1308032",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Children'S Dental Center, PLLC
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• Tila Jenique Thomas, PHARMD
• Hannah Thompson, MD
• Vanaja Thondapu, MD
• Total Health Chiropractic
• Maggie June Towler
• Town Square Family Foot Care, PC
• Aminata Traore, MD

• Occupational Therapist in Coralville, IA
• Providers in Coralville, IA by specialty
• Occupational Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; 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.