Individual provider Active NPI

Karen Stanley, OT

  • Occupational Therapist
  • Chicago, IL
National Provider Identifier
1316528698
Registry record updated Apr 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056005733 Issued in IL
Practice address
5140 N Oakley Ave
Chicago, IL 60625-1847
Phone
(773) 573-4443
NPI assigned
Apr 18, 2021
Last updated
Apr 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2021

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 056005733 IL Primary

Addresses

Primary practice location

5140 N Oakley Ave
Chicago, IL 60625-1847

Mailing address

5140 N Oakley Ave
Chicago, IL 60625-1847
Phone (773) 573-4443

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210706002113 IL Practitioner - Occupational Therapist in Private Practice 9234531898 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
056005733ILMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalize Home Therapy PLLC Occupational Therapist CurrentSince May 1, 2021 Accepting new patients
Moxie OT PLLC CurrentSince Mar 19, 2023 Accepting new patients
Potential Unlimited LLC CurrentSince Apr 25, 2021 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1618704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618704000000",
    "number": "1316528698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5140 N OAKLEY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606251847",
            "telephone_number": "773-573-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5140 N OAKLEY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606251847",
            "telephone_number": "773-573-4443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "KAREN",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-18",
        "last_updated": "2021-04-18",
        "certification_date": "2021-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056005733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2021; 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.

Verify at the official NPI Registry.