Karen Renee Mort, COTAL

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OP000475L Issued in PA

Practice address

4702 E Main St
Valley View Retirement Community
Belleville, PA 17004

Phone

(717) 935-2105

Fax

(717) 935-5109

NPI assigned

Mar 20, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255456034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4702 E MAIN ST",
            "address_2": "VALLEY VIEW RETIREMENT COMMUNITY",
            "city": "BELLEVILLE",
            "state": "PA",
            "postal_code": "17004",
            "telephone_number": "717-935-2105",
            "fax_number": "717-935-5109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4702 E MAIN ST",
            "address_2": "VALLEY VIEW RETIREMENT COMMUNITY",
            "city": "BELLEVILLE",
            "state": "PA",
            "postal_code": "17004",
            "telephone_number": "717-935-2105",
            "fax_number": "717-935-5109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORT",
        "first_name": "KAREN",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "COTAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "PA",
            "license": "OP000475L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapy Assistant in Belleville, PA
• Providers in Belleville, PA by specialty
• Occupational Therapy Assistant in Pennsylvania

• 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.