Individual provider Active NPI

Karmen L Mitchell, MS, OTR/L

  • Occupational Therapist
  • Gardendale, AL
National Provider Identifier
1285319590
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1784 Issued in AL
Practice address
424 Dean Dr
Gardendale, AL 35071-2763
Phone
(205) 631-8709
NPI assigned
Jun 15, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2023

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 1784 AL Primary

Addresses

Primary practice location

424 Dean Dr
Gardendale, AL 35071-2763

Mailing address

353 Donna Dr
Gardendale, AL 35071-2413
Phone (205) 503-2999

Other practice location 1

1716 9th Ave South 630B
Birmingham, AL 35294-2763
Phone (205) 934-0475

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1784ALMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama at Birmingham Occupational Therapist PastSince Nov 5, 2023 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.

NPI Registry JSON

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

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1285319590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 DONNA DR",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350712413",
            "telephone_number": "205-503-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 DEAN DR",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350712763",
            "telephone_number": "205-631-8709"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1716 9th Ave South 630B",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352942763",
            "country_code": "US",
            "telephone_number": "205-934-0475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "KARMEN",
        "middle_name": "L",
        "credential": "MS, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-15",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AL",
            "license": "1784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardendale, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; 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.