Active NPI
Katelynn Zanders Thomson, OTD, OTR/L
- Occupational Therapist
- Eagle River, AK
National Provider Identifier
1811665458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 181907
- Practice address
- 17101 Snowmobile LN
Suite 202
Eagle River, AK 99577 - Phone
- (907) 694-8085
- NPI assigned
- Aug 30, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 181907 | AK | Primary |
Addresses
Primary practice location
17101 Snowmobile LN
Suite 202
Eagle River, AK 99577
Mailing address
17101 Snowmobile LN
Suite 202
Eagle River, AK 99577
Phone (907) 694-8085
Other names 1
- Katelynn Ilyesha Zanders
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 181907 | AK | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excellence in Health Chiropractic and Rehabilitation Clinic PC | Current | Accepting new patients |
Locations
2008 E Northern Lights Blvd
#100
Anchorage, AK 99508
2008 E Northern Lights Blvd
Anchorage, AK 99508
Phone (907) 562-1511
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 and National Provider Directory roles.
-
- Chiropractor
- Anchorage, AK
- NPI 1508933300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698192000000",
"number": "1811665458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17101 SNOWMOBILE LN",
"address_2": "SUITE 202",
"city": "EAGLE RIVER",
"state": "AK",
"postal_code": "99577",
"telephone_number": "907-694-8085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17101 SNOWMOBILE LN",
"address_2": "SUITE 202",
"city": "EAGLE RIVER",
"state": "AK",
"postal_code": "99577",
"telephone_number": "907-694-8085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMSON",
"first_name": "KATELYNN",
"middle_name": "ZANDERS",
"name_prefix": "Dr.",
"credential": "OTD, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-30",
"last_updated": "2023-10-25",
"certification_date": "2023-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AK",
"license": "181907",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATELYNN",
"last_name": "ZANDERS",
"middle_name": "ILYESHA",
"credential": "OTD, OTR/L",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Eagle River, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.