Kathy Citerone, OTRL

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

1175 Issued in WV

Practice address

200 Heliport Loop Road
Bridgeport, WV 26330-6366

Phone

(304) 842-8463

NPI assigned

May 23, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Integrative Therapy, LLC

  • Home Health Agency
  • Bridgeport, WV
  • NPI 1801007257
  NPD (past) Authorized official

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700096252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1366",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263306366",
            "telephone_number": "304-842-8463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HELIPORT LOOP ROAD",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263306366",
            "telephone_number": "304-842-8463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CITERONE",
        "first_name": "KATHY",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "WV",
            "license": "1175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Michael Chill, M.D.
• Meranda Chipps, NP-C
• Laura Steiner Christy, O.D.
• David H Church, M.D.
• David A Ciarolla, MD
• City of Bridgeport
• Jazzriel Le Clark-Casto, NP
• Samantha Clark, LICSW
• Clarksburg Cardiology Consultants
• Clarksburg Cardiovascular PLLC

• Pediatric Occupational Therapist in Bridgeport, WV
• Providers in Bridgeport, WV by specialty
• Pediatric Occupational Therapist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.