Individual provider Active NPI

Karl Pflugrath, OTR/L

  • Occupational Therapist
  • Forestville, CA
National Provider Identifier
1093089377
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
12002 Issued in CA
Practice address
7050 Covey Rd
Forestville, CA 95436-9642
Phone
(707) 824-7911
Fax
(707) 634-7413
NPI assigned
Mar 3, 2012
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 12002 CA Primary
Pediatric Occupational Therapist 225XP0200X 60413912 WA

Addresses

Primary practice location

7050 Covey Rd
Forestville, CA 95436-9642

Mailing address

7050 Covey Rd
Forestville, CA 95436-9642
Phone (707) 824-7911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12002CAMDOccupational Therapist
60413912WAMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1330732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1093089377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7050 COVEY RD",
            "city": "FORESTVILLE",
            "state": "CA",
            "postal_code": "954369642",
            "telephone_number": "707-824-7911",
            "fax_number": "707-634-7413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7050 COVEY RD",
            "city": "FORESTVILLE",
            "state": "CA",
            "postal_code": "954369642",
            "telephone_number": "707-824-7911",
            "fax_number": "707-634-7413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFLUGRATH",
        "first_name": "KARL",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-03",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "12002",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "WA",
            "license": "60413912",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forestville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.