Individual provider Active NPI

Katie Lyn Bell, OTD, OTR/L, CBIS

  • Occupational Therapist
  • San Diego, CA
National Provider Identifier
1952848251
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT17050 Issued in CA
Practice address
8996 Miramar Rd Ste 301
San Diego, CA 92126-4463
Phone
(760) 688-0601
Fax
(760) 705-1331
NPI assigned
Jan 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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 OT17050 CA Primary

Addresses

Primary practice location

8996 Miramar Rd Ste 301
San Diego, CA 92126-4463

Mailing address

8996 Miramar Rd Ste 301
San Diego, CA 92126-4463
Phone (760) 688-0601

Other names 1

  • Katie Lyn Holstein Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241114003189 CA Practitioner - Occupational Therapist in Private Practice 6305379686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empower NeurorehabGroup PAC ID 5496288771, 8 clinicians

Practice addresses (Care Compare)

8996 Miramar Rd
Suite 301
San Diego, CA 92126-4463
Phone (760) 688-0601

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT17050CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Empower Neurorehab Occupational Therapist CurrentSince Jan 1, 2023 Accepting new patients
Learning Services Corporation PastSince Oct 1, 2019 Accepting new patients

Locations

8996 Miramar Rd
Ste 301
San Diego, CA 92126
Phone (760) 688-0127

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1485216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1952848251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8996 MIRAMAR RD STE 301",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264463",
            "telephone_number": "760-688-0601",
            "fax_number": "760-705-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8996 MIRAMAR RD STE 301",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264463",
            "telephone_number": "760-688-0601",
            "fax_number": "760-705-1331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELL",
        "first_name": "KATIE",
        "middle_name": "LYN",
        "credential": "OTD, OTR/L, CBIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-24",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT17050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "HOLSTEIN",
            "middle_name": "LYN",
            "credential": "OTD, OTR/L, CBIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; 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.

Verify at the official NPI Registry.