Individual provider Active NPI

Karla Jean Draves, C.O.T.A.

  • Occupational Therapy Assistant
  • Milwaukee, WI
National Provider Identifier
1295003754
Registry record updated Dec 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
343-27 Issued in WI
Practice address
2448 S 102ND St
Siute Number 340
Milwaukee, WI 53227-2466
Phone
(414) 329-2431
NPI assigned
Dec 12, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2011

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 343-27 WI Primary
Occupational Therapy Assistant 224Z00000X 057001574 IL

Addresses

Primary practice location

2448 S 102ND St
Siute Number 340
Milwaukee, WI 53227-2466

Mailing address

570 E Azalea Ter
Beloit, WI 53511-1602

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
057001574ILMDOccupational Therapy Assistant
343-27WIMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1323648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323648000000",
    "number": "1295003754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 E AZALEA TER",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535111602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2448 S 102ND ST",
            "address_2": "SIUTE NUMBER 340",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532272466",
            "telephone_number": "414-329-2431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAVES",
        "first_name": "KARLA",
        "middle_name": "JEAN",
        "credential": "C.O.T.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-12",
        "last_updated": "2011-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WI",
            "license": "343-27",
            "primary": true
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IL",
            "license": "057001574",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; 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.