KATHERINE ROSE LILES OT
NPI 1336300441
Occupational Therapist in Albany, GA

Active since June 20, 2008Accepts Medicare Assignment
1004 EDGEWATER DR, ALBANY, GA 31707(229) 894-1353 Get Directions Write a Review

NPPES record last updated: September 13, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Katherine Rose Liles Ot NPPES

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

KATHERINE ROSE LILES OT (NPI 1336300441) is an individual occupational therapist in Albany, Georgia, licensed in Georgia (OT004751) and active in the NPI registry since June 2008. She is a graduate of Other (2005).

NPPES Registry Identity

NPI1336300441
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameKATHERINE ROSE LILESCredential: OT
Location Address1004 EDGEWATER DRAlbany, GA 31707-3749
Mailing Address206 Bridgewater TrlCanton, GA 30115-4566 · (229) 894-1353
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJune 20, 2008
Last NPPES UpdateSeptember 13, 2023
NPPES CertifiedSeptember 13, 2023
✔ NPI 1336300441 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 GA · OT004751
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.
1004 EDGEWATER DR, Albany, GA 31707

Other Names 1

Former Name (1)Katherine Rose Johnson

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

Katherine Rose Liles Ot 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 ID547617755
PECOS Enrollment IDI20231109002200

Medicare Billing Reassignments

2

Medicare enrollment records show Katherine Liles reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Therapist
4460 CELEBRATION BLVD
Acworth, GA 30101
  • Reassigned Medicare billing, Georgia enrollment
  • 98 clinicians in this Medicare group
Occupational Therapist
206 BRIDGEWATER TRL
Canton, GA 30115
  • Reassigned Medicare billing, Georgia enrollment
  • 3 clinicians in this Medicare group

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

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 Liles's NPI number?

The NPI number for Katherine Liles is 1336300441. It was assigned to this individual provider in the NPPES registry on June 20, 2008. The provider is also known as Katherine Rose Johnson.

Where is Katherine Liles located?

Katherine Liles practices at 1004 Edgewater Dr, Albany, GA 31707. The listed phone number is (229) 894-1353.

What is Katherine Liles's specialty?

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

Is Katherine Liles enrolled in Medicare?

Yes. Katherine Liles 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 organizations bill Medicare for Katherine Liles's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Liles reassigns Medicare benefits to 2 organizations: The Weston Group Inc. (Acworth, GA) and Live To The Max LLC (Canton, GA). Each 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 Katherine Liles's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Katherine Liles was last updated on September 13, 2023. 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.