Active NPI
Karissa McHugh Null, OTR/L
- Occupational Therapist
- Wilmington, DE
National Provider Identifier
1184897589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 812 Philadelphia Pike
Wilmington, DE 19809-2372 - Phone
- (302) 543-5463
- NPI assigned
- Apr 7, 2008
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | U1-0001681 | DE | |
| Occupational Therapist | 225X00000X | OC010594 | PA | |
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
812 Philadelphia Pike
Wilmington, DE 19809-2372
Mailing address
4 Winding LN
Claymont, DE 19703-2457
Phone (609) 731-8663
Other practice location 1
160 Airport Rd
Lakewood, NJ 08701-6927
Phone (732) 367-1888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1021130980001 | Medicaid | PA |
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 |
|---|---|---|---|
| OC010594 | PA | MD | Occupational Therapist |
| U1-0001681 | DE | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Classic Rehabilitation, LTD. | Occupational Therapist | 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.
-
- Occupational Therapist
- Lakewood, NJ
- NPI 1639340540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553212800000",
"number": "1184897589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 WINDING LN",
"city": "CLAYMONT",
"state": "DE",
"postal_code": "197032457",
"telephone_number": "609-731-8663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "812 PHILADELPHIA PIKE",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198092372",
"telephone_number": "302-543-5463"
}
],
"practiceLocations": [
{
"address_1": "160 Airport Rd",
"address_purpose": "LOCATION",
"city": "Lakewood",
"state": "NJ",
"postal_code": "087016927",
"country_code": "US",
"telephone_number": "732-367-1888",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NULL",
"first_name": "KARISSA",
"middle_name": "MCHUGH",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-07",
"last_updated": "2019-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "DE",
"license": "U1-0001681",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC010594",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1021130980001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.