Active NPI
Katherine Liberty Cabacoy, COTA
- Occupational Therapy Assistant
- MC Lean, VA
National Provider Identifier
1669078036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 0131-002309
- Practice address
- 1739 Kirby Rd
MC Lean, VA 22101-4817 - Phone
- (703) 506-6900
- NPI assigned
- Dec 9, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 0131-002309 | VA | Primary |
Addresses
Primary practice location
1739 Kirby Rd
MC Lean, VA 22101-4817
Mailing address
333 S Glebe Rd Apt 327
Arlington, VA 22204-1670
Phone (757) 404-5665
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0131-002309 | VA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607472000000",
"number": "1669078036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 S GLEBE RD APT 327",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222041670",
"telephone_number": "757-404-5665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1739 KIRBY RD",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221014817",
"telephone_number": "703-506-6900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CABACOY",
"first_name": "KATHERINE",
"middle_name": "LIBERTY",
"credential": "COTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-09",
"last_updated": "2020-12-09",
"certification_date": "2020-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "VA",
"license": "0131-002309",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in MC Lean, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.