KATHERINE HAILEY LAKE OTR/L
NPI 1023624483
Occupational Therapist in Roseville, MN

Active since September 21, 2020
1835 COUNTY ROAD C W, ROSEVILLE, MN 55113(651) 638-0080(651) 638-0020 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2025, Mar 13, 2025, Sep 21, 2020 (3 updates tracked since 2020).

About Katherine Hailey Lake Otr/l NPPES

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

KATHERINE HAILEY LAKE OTR/L (NPI 1023624483) is an individual occupational therapist in Roseville, Minnesota, licensed in Minnesota (107723) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1023624483
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameKATHERINE HAILEY LAKECredential: OTR/L
Location Address1835 COUNTY ROAD C WRoseville, MN 55113-1352
Mailing Address1835 County Road C WRoseville, MN 55113-1352 · (651) 638-0080 · Fax (651) 638-0082
Fax(651) 638-0020
Sole ProprietorYes
Enumeration DateSeptember 21, 2020
Last NPPES UpdateMarch 17, 20253 updates tracked since enumeration
NPPES CertifiedMarch 17, 2025
NPI 1023624483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License Licensed in MN · 107723
Definition
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.
1835 COUNTY ROAD C W, Roseville, MN 55113

Other Providers at the Same Location NPPES 16

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

Dentist (Endodontics)
1835 COUNTY ROAD C W
ROSEVILLE, MN 55113
Audiologist-Hearing Aid Fitter
1835 COUNTY ROAD C W, SUITE 80
ROSEVILLE, MN 55113
Physical Therapist
1835 COUNTY ROAD C W
ROSEVILLE, MN 55113
Dentist (General Practice)
1835 COUNTY ROAD C W, #220
ROSEVILLE, MN 55113
Clinic/Center (Dental)
1835 COUNTY ROAD C W, SUITE 200
ROSEVILLE, MN 55113
Physician Assistant
1835 COUNTY ROAD C W, SUITE 250
ROSEVILLE, MN 55113
Neurological Surgery
1835 COUNTY ROAD C W, SUITE 150
ROSEVILLE, MN 55113
Physical Therapist
1835 COUNTY ROAD C W
ROSEVILLE, MN 55113

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 Katherine Lake's NPI number?

The NPI number for Katherine Lake is 1023624483. It was assigned to this individual provider in the NPPES registry on September 21, 2020.

Where is Katherine Lake located?

Katherine Lake practices at 1835 County Road C W, Roseville, MN 55113. The listed phone number is (651) 638-0080.

What is Katherine Lake's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

When was this NPI record last updated?

The NPPES record for Katherine Lake was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.