Individual provider Active NPI

Katrina Nicole Gadsby, MS, OTR/L

  • Occupational Therapist
  • Beloit, WI
National Provider Identifier
1871013979
Registry record updated Jun 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5954-26 Issued in WI
Practice address
3005 S Riverside Dr Ste 103
Beloit, WI 53511-1500
Phone
(608) 313-8600
NPI assigned
Jun 21, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5954-26 WI Primary

Addresses

Primary practice location

3005 S Riverside Dr Ste 103
Beloit, WI 53511-1500

Mailing address

1524 E Main St
Watertown, WI 53094-4116
Phone (303) 548-4365

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
5954-26WIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Moving on LLC Occupational Therapist 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.

NPI Registry JSON

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498003200000",
    "number": "1871013979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 E MAIN ST",
            "city": "WATERTOWN",
            "state": "WI",
            "postal_code": "530944116",
            "telephone_number": "303-548-4365",
            "fax_number": "130-354-8436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3005 S RIVERSIDE DR STE 103",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535111500",
            "telephone_number": "608-313-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADSBY",
        "first_name": "KATRINA",
        "middle_name": "NICOLE",
        "credential": "MS, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-21",
        "last_updated": "2017-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "5954-26",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beloit, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2017; 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.