Active NPI
Katie Opdycke
- Occupational Therapist
- Santa Cruz, CA
National Provider Identifier
1982158424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT 13985
- Practice address
- 106 Rey CT
Santa Cruz, CA 95062-3226 - Phone
- (269) 569-6885
- NPI assigned
- Aug 13, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 | OT 13985 | CA | Primary |
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
106 Rey CT
Santa Cruz, CA 95062-3226
Mailing address
106 Rey CT
Santa Cruz, CA 95062-3226
Phone (269) 569-6885
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160928001071 | CA | Practitioner - Occupational Therapist in Private Practice | 9032406467 | Practice locations: Santa Cruz, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13985 | CA | MD | Acupuncturist |
| OT 13985 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476921600000",
"number": "1982158424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 REY CT",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950623226",
"telephone_number": "269-569-6885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 REY CT",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950623226",
"telephone_number": "269-569-6885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OPDYCKE",
"first_name": "KATIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-13",
"last_updated": "2016-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "OT 13985",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Cruz, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.