Individual provider Active NPI

Karla Ann Riste, OTR/L

  • Physical Rehabilitation Occupational Therapist
  • Huber Heights, OH
National Provider Identifier
1225219843
Registry record updated Feb 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X
License
OT.008140 Issued in OH
Practice address
7365 Tellamere CT
Huber Heights, OH 45424-7334
Phone
(937) 236-7974
NPI assigned
Nov 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA 03451 OH
Physical Rehabilitation Occupational Therapist 225XP0019X OT.008140 OH Primary

Addresses

Primary practice location

7365 Tellamere CT
Huber Heights, OH 45424-7334

Mailing address

7365 Tellamere CT
Huber Heights, OH 45424-7334
Phone (937) 236-7974

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
OTA 03451OHMDOccupational Therapy Assistant
OT.008140OHMDPhysical Rehabilitation Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424304000000",
    "number": "1225219843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7365 TELLAMERE CT",
            "city": "HUBER HEIGHTS",
            "state": "OH",
            "postal_code": "454247334",
            "telephone_number": "937-236-7974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7365 TELLAMERE CT",
            "city": "HUBER HEIGHTS",
            "state": "OH",
            "postal_code": "454247334",
            "telephone_number": "937-236-7974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISTE",
        "first_name": "KARLA",
        "middle_name": "ANN",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-26",
        "last_updated": "2015-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OH",
            "license": "OTA 03451",
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "OH",
            "license": "OT.008140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huber Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; 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.