Individual provider Active NPI

Katharine Ann Dillsaver, OTRL

  • Occupational Therapist
  • Broken Arrow, OK
National Provider Identifier
1700916343
Registry record updated Jun 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT152 Issued in OK
Practice address
2950 South Elm Place
Suite 456
Broken Arrow, OK 74012-7863
Phone
(918) 451-3000
Fax
(918) 451-2700
NPI assigned
Mar 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2009

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 OT152 OK Primary

Addresses

Primary practice location

2950 South Elm Place
Suite 456
Broken Arrow, OK 74012-7863

Mailing address

9114 F South Urbana Ave
Tulsa, OK 74137-3955
Phone (918) 496-2623

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
OT152OKMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Broken Arrow Orthopedics Inc Past Accepting new patients
Tulsa Bone & Joint Associates PC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15136/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1601

Organizations & group practices 2

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": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246233600000",
    "number": "1700916343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9114 F SOUTH URBANA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741373955",
            "telephone_number": "918-496-2623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 SOUTH ELM PLACE",
            "address_2": "SUITE 456",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740127863",
            "telephone_number": "918-451-3000",
            "fax_number": "918-451-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLSAVER",
        "first_name": "KATHARINE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "OTRL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2009-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OK",
            "license": "OT152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Arrow, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2009; 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.