Active NPI
Kathryn Ellen Page Jeyatheva
- Occupational Therapist
- Gastonia, NC
National Provider Identifier
1871017251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 11143
- Practice address
- 1251 E Hudson Blvd
Gastonia, NC 28054-6102 - Phone
- (704) 865-5556
- NPI assigned
- Jul 27, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 11143 | NC | Primary |
| Occupational Therapist | 225X00000X | 19418 | CA |
Addresses
Primary practice location
1251 E Hudson Blvd
Gastonia, NC 28054-6102
Mailing address
3424 Madrigal LN
Charlotte, NC 28214-2384
Other names 1
- Kathryn Page
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3600 Park Rd
Charlotte, NC 28209-4102
Phone (980) 203-3585
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11143 | NC | MD | Occupational Therapist |
| 19418 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empowerme Rehabilitation, LLC | Occupational Therapist | Current | Accepting new patients |
| Empowerme Rehabilitation, LLC | Occupational Therapist | Current | Accepting new patients |
Locations
1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Charlotte, NC
- NPI 1285382440
Occupational Therapist
-
- Multi-Specialty Clinic/Center
- Williamsburg, VA
- NPI 1881366730
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767139200000",
"number": "1871017251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3424 MADRIGAL LN",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282142384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1251 E HUDSON BLVD",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280546102",
"telephone_number": "704-865-5556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEYATHEVA",
"first_name": "KATHRYN",
"middle_name": "ELLEN PAGE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-27",
"last_updated": "2025-12-31",
"certification_date": "2025-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "11143",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "19418",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHRYN",
"last_name": "PAGE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2025; 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.