KATHERINE HAILEY LAKE OTR/L
NPI 1023624483
Occupational Therapist in Roseville, MN
NPI Status: Active since September 21, 2020
Contact Information
1835 COUNTY ROAD C W
ROSEVILLE, MN
ZIP 55113
Phone: (651) 638-0080
Fax: (651) 638-0020
- Individual
- Female
- Years of Experience 2
- Occupational Therapist
- May Accept Medicare Approved Payment
About KATHERINE LAKE
This page provides the complete NPI Profile along with additional information for Katherine Lake, a provider established in Roseville, Minnesota with a medical specialization in Occupational Therapist and more than 2 years of experience. The healthcare provider is registered in the NPI registry with number 1023624483 assigned on September 2020. The practitioner's primary taxonomy code is 225X00000X with license number 107723 (MN). The provider is registered as an individual and her NPI record was last updated March 2025.
- NPI
- 1023624483
- Provider Name
- KATHERINE HAILEY LAKE OTR/L
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1835 COUNTY ROAD C W ROSEVILLE, MN 55113
- Location Phone
- (651) 638-0080
- Location Fax
- (651) 638-0020
- Mailing Address
- 1835 COUNTY ROAD C W ROSEVILLE, MN 55113
- Mailing Phone
- (651) 638-0080
- Mailing Fax
- (651) 638-0020
- Medical School Name
- OTHER
- Graduation Year
- 2024
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 09-21-2020
- Last Update Date
- 03-17-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Occupational Therapist
- Taxonomy Code
- 225X00000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 107723
- License State
- MN
- Taxonomy Description
- An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
Medicare Participation & PECOS Enrollment Status
Katherine Lake is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 2365965183
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20250402000084
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Maybe
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Reviews for KATHERINE HAILEY LAKE OTR/L
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 2 | 3 | 6 | 2 | 4 | 4 | 8 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 4 | 3 | 12 | 2 | 8 | 4 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 4 + 3 + 1 + 2 + 2 + 8 + 4 + 1 + 6 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1023624483 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 18 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1023119427 | DR. ANN PARKS NAPP AU.D. Individual | Audiologist-Hearing Aid Fitter | 1835 COUNTY ROAD C W SUITE 80 ROSEVILLE, MN 55113 (651) 638-9981 |
| 1366533861 | MR. MATTHEW STUART KAUFENBERG PT Individual | Physical Therapist | 1835 COUNTY ROAD C W ROSEVILLE, MN 55113 (651) 638-0080 |
| 1083707046 | MR. FREDERICK CARL HJELM P.T. Individual | Physical Therapist | 1835 COUNTY ROAD C W ROSEVILLE, MN 55113 (651) 638-0080 |
| 1003975061 | DR. KIRK ROLAND BAUMGARDNER DDS, PHD Individual | Dentist (Endodontics) | 1835 COUNTY ROAD C W ROSEVILLE, MN 55113 (651) 746-0587 |
| 1093874547 | DR. PAMELA JEAN HOLM DDS Individual | Dentist (General Practice) | 1835 COUNTY ROAD C W #220 ROSEVILLE, MN 55113 (651) 636-2123 |
| 1801152814 | AMDAHL HEARING, INC. Organization | Clinic/Center (Hearing and Speech) | 1835 COUNTY ROAD C W STE. 80 ROSEVILLE, MN 55113 (651) 638-9981 |
| 1740448117 | DR. MOHIBA K TAREEN MD Individual | Dermatology | 1835 COUNTY ROAD C W 250 ROSEVILLE, MN 55113 (651) 633-6883 |
| 1558659615 | JASON MICHAEL PROSTROLLO D.O. Individual | Pediatrics | 1835 COUNTY ROAD C W ROSEVILLE, MN 55113 (763) 785-4300 |
| 1457463184 | DR. MATHEW JOHN ROYAL D.D.S. Individual | Dentist (Endodontics) | 1835 COUNTY ROAD C W SUITE 200 ROSEVILLE, MN 55113 (651) 746-0587 |
| 1477950475 | KELSEY L HOLMES PAC Individual | Physician Assistant (Medical) | 1835 COUNTY ROAD C W 250 ROSEVILLE, MN 55113 (651) 633-6883 |
| 1811356397 | JEREMIAH LYNCH PA-C Individual | Physician Assistant | 1835 COUNTY ROAD C W ROSEVILLE, MN 55113 (763) 785-4500 |
| 1366899437 | CHLOE FERRAR Individual | Physician Assistant (Medical) | 1835 COUNTY ROAD C W ROSEVILLE, MN 55113 (763) 783-6200 |
| 1316278187 | LAUREN SUNDICK RPA-C Individual | Physician Assistant | 1835 COUNTY ROAD C W SUITE 250 ROSEVILLE, MN 55113 (651) 633-6883 |
| 1831290212 | AUDIOLOGY ASSOCIATES HEARINGCARE, LTD. Organization | Audiologist-Hearing Aid Fitter | 1835 COUNTY ROAD C W SUITE 80 ROSEVILLE, MN 55113 (651) 638-9981 |
| 1700933405 | SHOSHANA E. ENGLARD MD PA Organization | Ophthalmology | 1835 COUNTY ROAD C W ROSEVILLE, MN 55113 (651) 770-2807 |
| 1104201284 | PDG, PA Organization | Clinic/Center (Dental) | 1835 COUNTY ROAD C W SUITE 200 ROSEVILLE, MN 55113 (651) 209-7088 |
| 1336116052 | DAVID T CHANG MD Individual | Neurological Surgery | 1835 COUNTY ROAD C W SUITE 150 ROSEVILLE, MN 55113 (651) 430-3800 |
| 1821232661 | DR. SARA REBECCA ACKERMANN D.O. Individual | Obstetrics & Gynecology | 1835 COUNTY ROAD C W SUITE 150 ROSEVILLE, MN 55113 (763) 785-4300 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1023624483, enumerated in the NPI registry as an "individual" on September 21, 2020
The provider is located at 1835 County Road C W Roseville, Mn 55113 and the phone number is (651) 638-0080
The provider's speciality is Occupational Therapist with taxonomy code 225X00000X
The provider has more than 2 years of experience.
This NPI record was last updated on September 21, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.