Individual provider Active NPI

Katelyn Ryan Trent, MS,OTR/L

  • Occupational Therapist
  • Stafford, VA
National Provider Identifier
1689948135
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0119007864 Issued in VA
Practice address
31 Stafford Ave
Stafford, VA 22554-7246
Phone
(540) 658-6000
NPI assigned
Mar 1, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 8233 NC
Occupational Therapist 225X00000X 31005203A IN
Occupational Therapist 225X00000X 0119007864 VA Primary

Addresses

Primary practice location

31 Stafford Ave
Stafford, VA 22554-7246

Mailing address

31 Stafford Ave
Stafford, VA 22554-7246
Phone (540) 658-6000

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
31005203AINMDOccupational Therapist
0119007864VAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Stafford County Public Schools CurrentSince Apr 14, 2024 Accepting new patients
Stafford County Public Schools PastSince Apr 14, 2024 Accepting new patients
Onslow County Schools Occupational Therapist Past Accepting new patients

Locations

31 Stafford Ave
Stafford, VA 22554
Phone (540) 658-6000

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1330560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1689948135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 STAFFORD AVE",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225547246",
            "telephone_number": "540-658-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 STAFFORD AVE",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225547246",
            "telephone_number": "540-658-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRENT",
        "first_name": "KATELYN",
        "middle_name": "RYAN",
        "name_prefix": "Ms.",
        "credential": "MS,OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-01",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "8233",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31005203A",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119007864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.