Individual provider Active NPI

Katelyn Crabtree, MOT, OTR

  • Occupational Therapist
  • Waikoloa, HI
National Provider Identifier
1972943611
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT-1292 Issued in HI
Practice address
68-1868 Puu Nui St
Waikoloa, HI 96738-5232
Phone
(808) 854-5746
NPI assigned
Jun 26, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X
Occupational Therapist 225X00000X OT-1292 HI Primary

Addresses

Primary practice location

68-1868 Puu Nui St
Waikoloa, HI 96738-5232

Mailing address

68-1868 Puu Nui St
Waikoloa, HI 96738-5232
Phone (808) 854-5746

Other practice location 1

75-165 Hualalai Rd
Kailua Kona, HI 96740-3722
Phone (808) 329-0591

Other names 1

  • Katie Branchflower 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

State licenses

LicenseStateTypeSpecialty
OT-1292HIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Island Life Therapy and Wellness Services, LLC CurrentSince May 21, 2023 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": "1372204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1972943611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68-1868 PUU NUI ST",
            "city": "WAIKOLOA",
            "state": "HI",
            "postal_code": "967385232",
            "telephone_number": "808-854-5746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68-1868 PUU NUI ST",
            "city": "WAIKOLOA",
            "state": "HI",
            "postal_code": "967385232",
            "telephone_number": "808-854-5746"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75-165 Hualalai Rd",
            "address_purpose": "LOCATION",
            "city": "Kailua Kona",
            "state": "HI",
            "postal_code": "967403722",
            "country_code": "US",
            "telephone_number": "808-329-0591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRABTREE",
        "first_name": "KATELYN",
        "credential": "MOT, OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-26",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "HI",
            "license": "OT-1292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "BRANCHFLOWER",
            "credential": "MOT, OTR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Waikoloa, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.