Individual provider Active NPI

Elisha A Katz, OT

  • Occupational Therapist
  • Hutchinson, KS
National Provider Identifier
1689651564
Registry record updated Dec 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
17-01988 Issued in KS
Practice address
2803 N Lorraine St Ste F
Hutchinson, KS 67502
Phone
(620) 662-3111
Fax
(620) 662-3122
NPI assigned
Dec 30, 2005
Last updated
Dec 18, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2018

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 17-01988 KS Primary
Hand Occupational Therapist 225XH1200X 17-01988 KS

Addresses

Primary practice location

2803 N Lorraine St Ste F
Hutchinson, KS 67502

Mailing address

200 W Douglas Ave Ste 1040
Wichita, KS 67202-3017
Phone (316) 263-0003

Other practice location 1

7550 West Village Circle
Suite 1
Wichita, KS 67205
Phone (316) 838-2020 ext. 343

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061229000370 KS Practitioner - Occupational Therapist in Private Practice 4385644103 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced PT LLCGroup PAC ID 3678524709, 84 clinicians

Practice addresses (Care Compare)

3730 N Ridge Rd
Suite 500
Wichita, KS 67205-1233
Phone (316) 440-4901

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17-01988KSMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced PT LLC CurrentSince Nov 11, 2020 Accepting new patients
Advanced PT LLC CurrentSince Nov 11, 2020 Accepting new patients
Advanced PT, LLC PastSince Nov 11, 2020 Accepting new patients

Locations

2803 N Lorraine St
Ste F
Hutchinson, KS 67502
Phone (620) 662-3111

400 W 4th St
McPherson, KS 67460
Phone (620) 241-4201

315 W Washington Ave
Sterling, KS 67579
Phone (620) 204-6116

200 W Douglas Ave
Ste 1040
Wichita, KS 67202
Phone (866) 412-5554

2243 S Meridian Ave
Ste 105
Wichita, KS 67213
Phone (316) 942-5448

3730 N Ridge Rd
Ste 500
Wichita, KS 67205
Phone (316) 440-4901

4515 E Central Ave
Ste A
Wichita, KS 67208
Phone (316) 260-6869

6940 W Newell St
Wichita, KS 67212
Phone (316) 440-3731

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545091200000",
    "number": "1689651564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W DOUGLAS AVE STE 1040",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672023017",
            "telephone_number": "316-263-0003",
            "fax_number": "316-263-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2803 N LORRAINE ST STE F",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "67502",
            "telephone_number": "620-662-3111",
            "fax_number": "620-662-3122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7550 West Village Circle",
            "address_2": "Suite 1",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "67205",
            "country_code": "US",
            "telephone_number": "316-838-2020 x343",
            "fax_number": "316-838-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KATZ",
        "first_name": "ELISHA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-30",
        "last_updated": "2018-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KS",
            "license": "17-01988",
            "primary": true
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "KS",
            "license": "17-01988",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hutchinson, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; 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.