Active NPI
Kari Janece Defreest, OTR/L, CHT
- Occupational Therapist
- Sitka, AK
National Provider Identifier
1316425291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2074
- Practice address
- 222 Tongass Dr
Sitka, AK 99835-9416 - Phone
- (907) 966-2411
- NPI assigned
- Aug 1, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | 2074 | AK | |
| Occupational Therapist | 225X00000X | 2074 | AK | Primary |
Addresses
Primary practice location
222 Tongass Dr
Sitka, AK 99835-9416
Mailing address
PO Box 240101
Douglas, AK 99824-0101
Phone (907) 821-1953
Other names 1
- Kari Janece Roosenberg
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2074 | AK | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Alaska Regional Health Consortium | Current | Accepting new patients | |
| Southeast Alaska Regional Health Consortium | Current | Accepting new patients | |
| Southeast Alaska Regional Health Consortium | Current | Accepting new patients | |
| Skcay Enterprises Inc. | Past | Accepting new patients |
Locations
3100 Channel Dr
Ste 300
Juneau, AK 99801
Phone (907) 463-4000
222 Tongass Dr
Sitka, AK 99835
Phone (907) 966-8423
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Juneau, AK
- NPI 1194261594
-
- Clinic/Center
- Juneau, AK
- NPI 1427941343
-
- Physical Therapy Clinic/Center
- Poway, CA
- NPI 1679674642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533081600000",
"number": "1316425291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 240101",
"city": "DOUGLAS",
"state": "AK",
"postal_code": "998240101",
"telephone_number": "907-821-1953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 TONGASS DR",
"city": "SITKA",
"state": "AK",
"postal_code": "998359416",
"telephone_number": "907-966-2411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEFREEST",
"first_name": "KARI",
"middle_name": "JANECE",
"credential": "OTR/L, CHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-01",
"last_updated": "2018-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "AK",
"license": "2074",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AK",
"license": "2074",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KARI",
"last_name": "ROOSENBERG",
"middle_name": "JANECE",
"credential": "OTR/L, CHT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Sitka, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.