Individual provider Active NPI

Katlin Esther Kinsley, OTR/L

  • Occupational Therapist
  • Salt Lake City, UT
National Provider Identifier
1699149187
Registry record updated Dec 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0004458 Issued in CO
Practice address
8TH Ave C St E
Salt Lake City, UT 84143-3470
Phone
(801) 408-1100
NPI assigned
Nov 20, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 0004458 CO Primary

Addresses

Primary practice location

8TH Ave C St E
Salt Lake City, UT 84143-3470

Mailing address

1961 E Sylvan Ave
Salt Lake City, UT 84108-3124
Phone (215) 206-6904

Other practice location 1

555 S Pierce St
Lakewood, CO 80226-3470
Phone (303) 937-9044

Other names 1

  • Katlin Wilson Former name

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

LicenseStateTypeSpecialty
0004458COMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1447977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609113600000",
    "number": "1699149187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1961 E SYLVAN AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841083124",
            "telephone_number": "215-206-6904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8TH AVE C ST E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841433470",
            "telephone_number": "801-408-1100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 S Pierce St",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802263470",
            "country_code": "US",
            "telephone_number": "303-937-9044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINSLEY",
        "first_name": "KATLIN",
        "middle_name": "ESTHER",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-20",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "0004458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATLIN",
            "last_name": "WILSON",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.

Verify at the official NPI Registry.