Active NPI
Katlin Raudebaugh
- Occupational Therapist
- Kissimmee, FL
National Provider Identifier
1861803470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT19238
- Practice address
- 1107 Mabbette St
Kissimmee, FL 34741-5161 - Phone
- (586) 243-3093
- NPI assigned
- May 16, 2014
- 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 | OT19238 | FL | Primary |
Addresses
Primary practice location
1107 Mabbette St
Kissimmee, FL 34741-5161
Mailing address
3129 Cranes Cove Loop
Kissimmee, FL 34741-7511
Phone (586) 243-3093
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 |
|---|---|---|---|
| OT19238 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Speech and Therapy Center, Inc | Past | Accepting new patients |
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.
-
- Rehabilitation Clinic/Center
- Jackson, MI
- NPI 1457473480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695168000000",
"number": "1861803470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3129 CRANES COVE LOOP",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347417511",
"telephone_number": "586-243-3093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1107 MABBETTE ST",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347415161",
"telephone_number": "586-243-3093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAUDEBAUGH",
"first_name": "KATLIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-16",
"last_updated": "2023-09-20",
"certification_date": "2023-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT19238",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.