Active NPI
Kathleen M Bukaty, OTR
- Occupational Therapist
- Olathe, KS
National Provider Identifier
1831612019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 17-01418
- Practice address
- 15455 S Rogers Rd
Olathe, KS 66062-3497 - Phone
- (913) 254-0568
- Fax
- (913) 254-0854
- NPI assigned
- Jul 19, 2017
- 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 | 17-01418 | KS | Primary |
Addresses
Primary practice location
15455 S Rogers Rd
Olathe, KS 66062-3497
Mailing address
15455 S Rogers Rd
Olathe, KS 66062-3497
Phone (913) 254-0568
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17-01418 | Other | KS | OT LICENSE |
Other names 1
- Kathleen M Coles
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 |
|---|---|---|---|
| 17-01418 | KS | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1831612019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15455 S ROGERS RD",
"city": "OLATHE",
"state": "KS",
"postal_code": "660623497",
"telephone_number": "913-254-0568",
"fax_number": "913-254-0854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15455 S ROGERS RD",
"city": "OLATHE",
"state": "KS",
"postal_code": "660623497",
"telephone_number": "913-254-0568",
"fax_number": "913-254-0854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUKATY",
"first_name": "KATHLEEN",
"middle_name": "M",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-19",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KS",
"license": "17-01418",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OT LICENSE",
"identifier": "17-01418",
"state": "KS"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KATHLEEN",
"last_name": "COLES",
"middle_name": "M",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Olathe, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.