Karah Rose Shouse, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

21373 Issued in CA

Practice address

77564 Country Club Dr
Palm Desert, CA 92211-0484

Phone

(760) 772-2838

Fax

(760) 772-2883

NPI assigned

Sep 24, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

On the Move RehabGroup PAC ID 6709195316, 28 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• On the Move Rehab

  • Physical Therapist
  • Cathedral City, CA
  • NPI 1356710925

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Desert Occupational Therapy for Kids Inc.

  • Occupational Medicine Clinic/Center
  • Palm Desert, CA
  • NPI 1922470608
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1043827090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77564 COUNTRY CLUB DR STE 340",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922110450",
            "telephone_number": "760-772-2838",
            "fax_number": "760-772-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77564 COUNTRY CLUB DR",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922110484",
            "telephone_number": "760-772-2838",
            "fax_number": "760-772-2883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOUSE",
        "first_name": "KARAH",
        "middle_name": "ROSE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-24",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "21373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OT LICENSE #",
            "identifier": "21373",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "office@dot4kids.com",
            "affiliation": "N",
            "address_1": "77564 Country Club Dr",
            "city": "Palm Desert",
            "state": "CA",
            "country_code": "US",
            "postal_code": "922110484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Behzad Shelechi, DDS
• Richelle Shepard
• Diane Sandy Sheppard, MSOM, PH.D, L.AC.
• Julie Shiller, ACSW
• Kimberly Shipman, L.AC.
• Ornella Siakam
• Bianchi Siapno, PHARM.D.
• Maryam Sickinger, D.O.
• Nicole Sidor, DPT
• Alan W Siegel, O.D.

• Occupational Therapist in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.