Individual provider Active NPI

Karen Allen Witters, OTR/L

  • Occupational Therapist
  • Puyallup, WA
National Provider Identifier
1326372707
Registry record updated Jun 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT00000593 Issued in WA
Practice address
324 E Pioneer
Puyallup, WA 98372-3264
Phone
(253) 377-6285
Fax
(253) 693-2016
NPI assigned
Oct 1, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2015

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 OT00000593 WA Primary

Addresses

Primary practice location

324 E Pioneer
Puyallup, WA 98372-3264

Mailing address

18303 74TH St E
Bonney Lake, WA 98391-7027
Phone (253) 377-6285

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091208000694 WA Practitioner - Occupational Therapist in Private Practice 9234278037 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

324 E Pioneer
Puyallup, WA 98372-3264
Phone (253) 377-6285

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT00000593WAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pioneer Therapy Center PLLC Occupational Therapist CurrentSince Jun 1, 2012 Accepting new patients
Good Samaritan Community Healthcare Past Accepting new patients
Bonney Lake Physical Therapy and Hand Rehab, PLLC Past Accepting new patients

Locations

324 E Pioneer
Puyallup, WA 98372
Phone (253) 377-6285

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1254355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433289600000",
    "number": "1326372707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18303 74TH ST E",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983917027",
            "telephone_number": "253-377-6285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 E PIONEER",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723264",
            "telephone_number": "253-377-6285",
            "fax_number": "253-693-2016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTERS",
        "first_name": "KAREN",
        "middle_name": "ALLEN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-01",
        "last_updated": "2015-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT00000593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.