Individual provider Active NPI

Kathryn Ann Gorres Nice, OTR/L

  • Occupational Therapist
  • Minneapolis, MN
National Provider Identifier
1902963663
Registry record updated Nov 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
102378 Issued in MN
Practice address
5775 Wayzata Blvd
Suite 255
Minneapolis, MN 55416-1222
Phone
(952) 525-4500
NPI assigned
Jan 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2014

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 102378 MN Primary

Addresses

Primary practice location

5775 Wayzata Blvd
Suite 255
Minneapolis, MN 55416-1222

Mailing address

5775 Wayzata Blvd
Suite 255
Minneapolis, MN 55416-1222
Phone (952) 525-4500

Other names 1

  • Katie Nice Other name

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

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416441600000",
    "number": "1902963663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5775 WAYZATA BLVD",
            "address_2": "SUITE 255",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554161222",
            "telephone_number": "952-525-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5775 WAYZATA BLVD",
            "address_2": "SUITE 255",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554161222",
            "telephone_number": "952-525-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICE",
        "first_name": "KATHRYN",
        "middle_name": "ANN GORRES",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2014-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "102378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "NICE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2014; 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.