Katelynn Rerucha, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2327 Issued in NE

Practice address

3004 W Faidley Ave
Grand Island, NE 68803-4109

Phone

(308) 398-5170

NPI assigned

Jul 12, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Katelynn Martin Former name

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Creighton University School of Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Resilient Rehab LLCGroup PAC ID 2264967207, 5 clinicians

Empowerme Asl LLCGroup PAC ID 3476969387, 80 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Resilient Rehab LLC

  • Clinic/Center
  • Clarks, NE
  • NPI 1861247645
  Medicare reassignment Care Compare group NPD
• Empowerme Asl, LLC

  • Multi-Specialty Clinic/Center
  • La Vista, NE
  • NPI 1205425063
  Medicare reassignment Care Compare group
• Blue Stone Therapy Inc.

  • Physical Medicine & Rehabilitation Physician
  • Urbandale, IA
  • NPI 1932797297

  NE

  Medicare reassignment NPD
• Powerback Rehabilitation LLC

  • Rehabilitation Clinic/Center
  • Saint Peters, MO
  • NPI 1629306048

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1562889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1831741537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5285",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688025285",
            "telephone_number": "308-382-0344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3004 W FAIDLEY AVE",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688034109",
            "telephone_number": "308-398-5170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RERUCHA",
        "first_name": "KATELYNN",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-12",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NE",
            "license": "2327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATELYNN",
            "last_name": "MARTIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amy Lynn Reis, OD
• Angela Marie Reisbeck
• Emilie Reisen, PT
• Brandie Dee Rempe
• Renal Treatment Centers-Illinois Inc.
• Resilience Mental Health Services, LLC
• Elsy Restrepo
• Susan K Retzlaff Deitrick, PA-C
• Tara Public Retzlaff
• Evan Reutter

• Occupational Therapist in Grand Island, NE
• Providers in Grand Island, NE by specialty
• Occupational Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.