Katherine J Jeffries

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

31001937A Issued in IN

Practice address

6040 Lute Rd
Portage, IN 46368-5008

Phone

(219) 763-6858

Fax

(219) 763-4858

NPI assigned

Jul 10, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184025600000",
    "number": "1740488824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 TETON CT",
            "city": "HEBRON",
            "state": "IN",
            "postal_code": "463417213",
            "telephone_number": "219-781-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6040 LUTE RD",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463685008",
            "telephone_number": "219-763-6858",
            "fax_number": "219-763-4858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFRIES",
        "first_name": "KATHERINE",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-10",
        "last_updated": "2007-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31001937A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTR",
            "identifier": "31001937A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cody James Jackson, PHARMD
• Heather Lee Jackson, CNM, MSN
• Jacob'S Ladder First Steps Program
• David Scott Jardenil, D.D.S.
• Jeffrey R Robertson Inc
• Jasmine Jeronimo
• Johnson Memorial Hospital
• John Bernard Johnson III, D.D.S.
• Julie A Johnson, PTA
• Melissa Johnson

• Occupational Therapist in Portage, IN
• Providers in Portage, IN by specialty
• Occupational Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.