Individual provider Active NPI

Katie Lynne Kolecki, OTR/L

  • Occupational Therapist
  • Warrington, PA
National Provider Identifier
1821215732
Registry record updated Feb 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC006233L Issued in PA
Practice address
2167 Longview Rd.
Warrington, PA 18976
Phone
(610) 597-3729
Fax
(215) 343-2772
NPI assigned
Apr 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X
Occupational Therapist 225X00000X OC006233L PA Primary

Addresses

Primary practice location

2167 Longview Rd.
Warrington, PA 18976

Mailing address

2167 Longview Rd.
Warrington, PA 18976
Phone (610) 597-3729

Other identifiers 1

IdentifierTypeStateIssuer
001901914MedicaidPA

Other names 1

  • Mrs. Katie Lynne O'Donnell Former name

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

LicenseStateTypeSpecialty
OC006233LPAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328832000000",
    "number": "1821215732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2167 LONGVIEW RD.",
            "city": "WARRINGTON",
            "state": "PA",
            "postal_code": "18976",
            "telephone_number": "610-597-3729",
            "fax_number": "215-343-2772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2167 LONGVIEW RD.",
            "city": "WARRINGTON",
            "state": "PA",
            "postal_code": "18976",
            "telephone_number": "610-597-3729",
            "fax_number": "215-343-2772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLECKI",
        "first_name": "KATIE",
        "middle_name": "LYNNE",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2012-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC006233L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001901914",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "O'DONNELL",
            "middle_name": "LYNNE",
            "prefix": "MRS.",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Warrington, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2012; 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.