Individual provider Active NPI

Kathleen Raske, COTA / L

  • Occupational Therapy Assistant
  • Hudson, FL
National Provider Identifier
1942944608
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OTA16411 Issued in FL
Practice address
13745 Bee Tree CT
Hudson, FL 34669-1378
Phone
(727) 534-4431
NPI assigned
Apr 27, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA16411 FL Primary

Addresses

Primary practice location

13745 Bee Tree CT
Hudson, FL 34669-1378

Mailing address

13745 Bee Tree CT
Hudson, FL 34669-1378
Phone (727) 534-4431

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

State licenses

LicenseStateTypeSpecialty
OTA16411FLMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Pediatric Therapy Services CurrentSince Jun 5, 2022 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": "1651017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1942944608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13745 BEE TREE CT",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346691378",
            "telephone_number": "727-534-4431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13745 BEE TREE CT",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346691378",
            "telephone_number": "727-534-4431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASKE",
        "first_name": "KATHLEEN",
        "credential": "COTA / L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-27",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA16411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; 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.