Active NPI
Katie Anne Flaherty
- Occupational Therapist
- Amarillo, TX
National Provider Identifier
1790334258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 120312
- Practice address
- 5507 SW 9TH Ave
Amarillo, TX 79106-4130 - Phone
- (806) 468-7611
- NPI assigned
- Sep 8, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 4120 | NM | |
| Occupational Therapist | 225X00000X | 120312 | TX | Primary |
Addresses
Primary practice location
5507 SW 9TH Ave
Amarillo, TX 79106-4130
Mailing address
5507 SW 9TH Ave
Amarillo, TX 79106-4130
Other practice location 1
6502 Slide Rd Ste 204
Lubbock, TX 79424-1311
Phone (508) 446-2112
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4120 | NM | MD | Occupational Therapist |
| 120312 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596585600000",
"number": "1790334258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5507 SW 9TH AVE",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791064130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5507 SW 9TH AVE",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791064130",
"telephone_number": "806-468-7611"
}
],
"practiceLocations": [
{
"address_1": "6502 Slide Rd Ste 204",
"address_purpose": "LOCATION",
"city": "Lubbock",
"state": "TX",
"postal_code": "794241311",
"country_code": "US",
"telephone_number": "508-446-2112",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FLAHERTY",
"first_name": "KATIE",
"middle_name": "ANNE",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-08",
"last_updated": "2020-08-05",
"certification_date": "2020-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NM",
"license": "4120",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "120312",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.