Individual provider Active NPI

Katherine Solimine, OTR/L

  • Pediatric Occupational Therapist
  • San Diego, CA
National Provider Identifier
1710466156
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
15316 Issued in CA
Practice address
4363 Copeland Ave Apt 2
San Diego, CA 92105-1236
Phone
(619) 858-3138
NPI assigned
Aug 7, 2018
Last updated
Jan 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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
Pediatric Occupational Therapist 225XP0200X
Pediatric Occupational Therapist 225XP0200X 15316 CA Primary

Addresses

Primary practice location

4363 Copeland Ave Apt 2
San Diego, CA 92105-1236

Mailing address

4363 Copeland Ave Apt 2
San Diego, CA 92105-1236
Phone (201) 838-8898

Other names 1

  • Katherine Mezheritsky 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
15316CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Sunny Blossom Therapy Pediatrics CurrentSince Feb 1, 2022 Accepting new patients

Organizations & group practices 1

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": "1533600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1710466156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4363 COPELAND AVE APT 2",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921051236",
            "telephone_number": "201-838-8898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4363 COPELAND AVE APT 2",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921051236",
            "telephone_number": "619-858-3138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLIMINE",
        "first_name": "KATHERINE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-07",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "15316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "MEZHERITSKY",
            "credential": "MSOT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.