Active NPI
Kathryn Jean Economou, OTR/L
- Occupational Therapist
- Huntsville, AL
National Provider Identifier
1811157142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3241
- Practice address
- 2004 Max Luther Dr
Huntsville, AL 35810-3800 - Phone
- (760) 471-2986
- NPI assigned
- Jun 10, 2008
- 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 | 9013 | CA | |
| Occupational Therapist | 225X00000X | 3241 | AL | Primary |
Addresses
Primary practice location
2004 Max Luther Dr
Huntsville, AL 35810-3800
Mailing address
245 Cahaba Valley Pkwy
Suite 200
Pelham, AL 35124-2216
Phone (760) 471-2986
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3241 | AL | MD | Professional Counselor |
| 9013 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599004800000",
"number": "1811157142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 CAHABA VALLEY PKWY",
"address_2": "SUITE 200",
"city": "PELHAM",
"state": "AL",
"postal_code": "351242216",
"telephone_number": "760-471-2986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2004 MAX LUTHER DR",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358103800",
"telephone_number": "760-471-2986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECONOMOU",
"first_name": "KATHRYN",
"middle_name": "JEAN",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-10",
"last_updated": "2020-09-02",
"certification_date": "2020-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "9013",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AL",
"license": "3241",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.