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KATELYN MARIE WIEDEMAN OTR/L, OTD
NPI 1013627074
Occupational Therapist - Hand in Leawood, KS

Active since November 30, 2022Accepts Medicare Assignment
3651 COLLEGE BLVD STE 110, LEAWOOD, KS 66211(913) 253-8980(913) 253-1760 Get Directions Write a Review

NPPES record last updated: November 30, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Katelyn Marie Wiedeman Otr/l, Otd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATELYN MARIE WIEDEMAN OTR/L, OTD (NPI 1013627074) is an individual hand provider in Leawood, Kansas, licensed in Kansas (17-03551) and active in the NPI registry since November 2022. She is a graduate of Creighton University School Of Medicine (2019).

NPPES Registry Identity

NPI1013627074
Entity TypeIndividualFemale
Primary Taxonomy225XH1200X
Provider Legal NameKATELYN MARIE WIEDEMANCredential: OTR/L, OTD
Location Address3651 COLLEGE BLVD STE 110Leawood, KS 66211-1910
Mailing Address3651 College Blvd Ste 110Leawood, KS 66211-1910 · (913) 253-8980 · Fax (913) 253-1760
Phone(913) 253-8980
Fax(913) 253-1760
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 2019
Enumeration DateNovember 30, 2022
NPPES CertifiedNovember 30, 2022
✔ NPI 1013627074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational Therapist · HandRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225XH1200X
License✔ Licensed in KS · 17-03551
3651 COLLEGE BLVD STE 110, Leawood, KS 66211
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Katelyn Marie Wiedeman Otr/l, Otd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315421344
PECOS Enrollment IDI20260318001643

Medicare Billing Reassignment

Medicare enrollment records show Katelyn Wiedeman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Northland Physical Therapy & Rehab Services, Inc
15 mi
Physical Therapist
2100 SWIFT AVE
N Kansas City, MO 64116
  • Reassigned Medicare billing, Kansas enrollment
  • 86 clinicians in this Medicare group
NPI 1740273218 (816) 474-8877

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BARRY JOSEPH ENGELKEN MPT
Physical Therapist (Orthopedic)
3651 COLLEGE BLVD STE 110
LEAWOOD, KS 66211
Johnson County (913) 253-8980
SCOTT A STEENHARD PT
Physical Therapist
3651 COLLEGE BLVD STE 110
LEAWOOD, KS 66211
Johnson County (913) 253-8980
ALLISON LEA BARNETT OT, CHT
Occupational Therapist (Hand)
3651 COLLEGE BLVD STE 110
LEAWOOD, KS 66211
Johnson County (913) 253-8980
JASON BRINKMAN PT
Physical Therapist (Orthopedic)
3651 COLLEGE BLVD STE 110
LEAWOOD, KS 66211
Johnson County (913) 253-8980
LAURA GARBER
Occupational Therapist
3651 COLLEGE BLVD STE 110
LEAWOOD, KS 66211
Johnson County (913) 253-8980
HANNAH RAWSON PT, DPT
Physical Therapist (Orthopedic)
3651 COLLEGE BLVD STE 110
LEAWOOD, KS 66211
Johnson County (913) 253-8980

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katelyn Wiedeman's NPI number?

The NPI number for Katelyn Wiedeman is 1013627074. It was assigned to this individual provider in the NPPES registry on November 30, 2022.

Where is Katelyn Wiedeman located?

Katelyn Wiedeman practices at 3651 College Blvd Ste 110, Leawood, KS 66211. The listed phone number is (913) 253-8980.

What is Katelyn Wiedeman's specialty?

The primary specialty registered for this NPI is Occupational Therapist, specializing in Hand, with taxonomy code 225XH1200X.

Is Katelyn Wiedeman enrolled in Medicare?

Yes. Katelyn Wiedeman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Katelyn Wiedeman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katelyn Wiedeman reassigns Medicare benefits to Northland Physical Therapy & Rehab Services, Inc (N Kansas City, MO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Katelyn Wiedeman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katelyn Wiedeman accept?

Health plans from Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Kansas City list Katelyn Wiedeman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Katelyn Wiedeman was last updated on November 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.