Active NPI
Laurie Kasa, OTR
- Pediatric Occupational Therapist
- Stateline, NV
National Provider Identifier
1114101029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 0691
- Practice address
- 219 Chimney Rock Rd.
Stateline, NV 89449-3360 - Phone
- (775) 720-9707
- NPI assigned
- Dec 27, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 0691 | NV | Primary |
Addresses
Primary practice location
219 Chimney Rock Rd.
Stateline, NV 89449-3360
Mailing address
PO Box 3360
Stateline, NV 89449-3360
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100504001 | Medicaid | NV |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0691 | NV | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218758400000",
"number": "1114101029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3360",
"city": "STATELINE",
"state": "NV",
"postal_code": "894493360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 CHIMNEY ROCK RD.",
"city": "STATELINE",
"state": "NV",
"postal_code": "894493360",
"telephone_number": "775-720-9707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASA",
"first_name": "LAURIE",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-27",
"last_updated": "2008-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NV",
"license": "0691",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100504001",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Stateline, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.