Active NPI
Kathryn Green, M.S., OTR/L
- Occupational Therapist
- Mission Viejo, CA
National Provider Identifier
1730554122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 14860
- Practice address
- 25652 Via Viento
Mission Viejo, CA 92691-5629 - Phone
- (949) 433-5337
- NPI assigned
- Dec 10, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 14860 | CA | Primary |
Addresses
Primary practice location
25652 Via Viento
Mission Viejo, CA 92691-5629
Mailing address
25652 Via Viento
Mission Viejo, CA 92691-5629
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14860 | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449705600000",
"number": "1730554122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25652 VIA VIENTO",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926915629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25652 VIA VIENTO",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926915629",
"telephone_number": "949-433-5337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "KATHRYN",
"credential": "M.S., OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-10",
"last_updated": "2015-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "14860",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mission Viejo, CA
- Martha Jean Gray, RD
- Great American Home Healthcare Services, Inc.
- Great American Hospice and Palliative Care, Inc.
- Green Pacific Counseling & Psychology Inc
- David Green, P.T.
- Jody M Greenberg, DPM
- Rochelle Blaire Greene, LCSW
- Gregory J Joy MD a Professional Corporation
- Gregory J Joy MD Acute Care Services Inc
- Sharon M. Gruber, PSY.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.