Individual provider Active NPI

Karlie Anne Stasik, OT

  • Occupational Therapist
  • Mechanicsburg, PA
National Provider Identifier
1215007828
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC008104 Issued in PA
Practice address
5225 Wilson LN
Mechanicsburg, PA 17055-6663
Phone
(717) 591-8063
Fax
(717) 697-6576
NPI assigned
Nov 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OC008104 PA Primary

Addresses

Primary practice location

5225 Wilson LN
Mechanicsburg, PA 17055-6663

Mailing address

1174 Heron CT
Mechanicsburg, PA 17050-2053
Phone (717) 737-1457

Other names 1

  • Ms. Karlie Stasik Gawne Other name

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
OC008104PAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215007828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1174 HERON CT",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170502053",
            "telephone_number": "717-737-1457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 WILSON LN",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170556663",
            "telephone_number": "717-591-8063",
            "fax_number": "717-697-6576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STASIK",
        "first_name": "KARLIE",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC008104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARLIE",
            "last_name": "GAWNE",
            "middle_name": "STASIK",
            "prefix": "MS.",
            "credential": "OT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mechanicsburg, PA

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.

Verify at the official NPI Registry.