Active NPI
Karen Hollwedel, OTR
- Occupational Therapist
- Lakeland, FL
National Provider Identifier
1154532182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT 9926
- Practice address
- 3133 Lakeland Hills Blvd
Suite 1 & 2
Lakeland, FL 33805-2208 - Phone
- (863) 603-0515
- NPI assigned
- May 24, 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT 9926 | FL | Primary |
Addresses
Primary practice location
3133 Lakeland Hills Blvd
Suite 1 & 2
Lakeland, FL 33805-2208
Mailing address
1610 Morning Dove Loop N
Lakeland, FL 33809-7700
Phone (863) 255-6603
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 |
|---|---|---|---|
| OT 9926 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Health Choice | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Medically Fragile Infants and Children Day Care
- Lakeland, FL
- NPI 1093265514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154532182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1610 MORNING DOVE LOOP N",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338097700",
"telephone_number": "863-255-6603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3133 LAKELAND HILLS BLVD",
"address_2": "SUITE 1 & 2",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338052208",
"telephone_number": "863-603-0515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLWEDEL",
"first_name": "KAREN",
"name_prefix": "Ms.",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT 9926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.