Karli Banks, OTRL
Individual provider Active NPI Contractor · Phoenix, AZ
NPI 1124246004 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1124246004
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- License
- 3311 (AZ)
- Practice address
- 455 N 3Rd St
Suite 200
Phoenix, AZ 85004-3924 - Phone
- (602) 528-3450
- Fax
- (602) 528-3439
- NPI assigned
- Apr 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3311 | AZ | MD | Contractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Essential Therapy Solutions, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 3311 | AZ | Yes |
Addresses
Primary practice location
455 N 3Rd St
Suite 200
Phoenix, AZ 85004-3924
Mailing address
12310 W Orange Dr
Litchfield Park, AZ 85340-4145
Phone (602) 403-9423
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3311 | Other | AZ | OCCUPATIONAL THERAPIST |
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.