Active NPI
Katelyn E Decarlo, MS OTR
- Occupational Therapist
- Camp Hill, PA
National Provider Identifier
1285392324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC016577
- Practice address
- 113 N 20TH St
Camp Hill, PA 17011-3803 - Phone
- (717) 580-0302
- NPI assigned
- Dec 6, 2021
- Last updated
- Dec 6, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OC016577 | PA | Primary |
Addresses
Primary practice location
113 N 20TH St
Camp Hill, PA 17011-3803
Mailing address
PO Box 943
Camp Hill, PA 17001-0943
Phone (717) 580-0302
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
| License | State | Type | Specialty |
|---|---|---|---|
| OC016577 | PA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638748800000",
"number": "1285392324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 943",
"city": "CAMP HILL",
"state": "PA",
"postal_code": "170010943",
"telephone_number": "717-580-0302",
"fax_number": "717-502-4454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 N 20TH ST",
"city": "CAMP HILL",
"state": "PA",
"postal_code": "170113803",
"telephone_number": "717-580-0302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECARLO",
"first_name": "KATELYN",
"middle_name": "E",
"credential": "MS OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-06",
"last_updated": "2021-12-06",
"certification_date": "2021-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC016577",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camp Hill, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.