Individual provider Active NPI

Karen Todd, OTR/L

  • Occupational Therapist
  • La Grange, IL
National Provider Identifier
1336812262
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056.014370 Issued in IL
Practice address
18 N Catherine Ave
La Grange, IL 60525-5930
Phone
(708) 482-9453
NPI assigned
Jul 27, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 056.014370 IL Primary
Occupational Therapist 225X00000X 99105590A IN

Addresses

Primary practice location

18 N Catherine Ave
La Grange, IL 60525-5930

Mailing address

4105 N Washington St
Westmont, IL 60559-1334
Phone (630) 484-3169

Other practice location 1

320 W 61st Ave
Hobart, IN 46342-6490
Phone (219) 947-6580

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL N Other

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
056.014370ILMDOccupational Therapist
99105590AINMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
St Mary Medical Center Inc PastSince Aug 1, 2021 Accepting new patients

Organizations & group practices 1

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": "1627344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1336812262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4105 N WASHINGTON ST",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605591334",
            "telephone_number": "630-484-3169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 N CATHERINE AVE",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605255930",
            "telephone_number": "708-482-9453"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 W 61st Ave",
            "address_purpose": "LOCATION",
            "city": "Hobart",
            "state": "IN",
            "postal_code": "463426490",
            "country_code": "US",
            "telephone_number": "219-947-6580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TODD",
        "first_name": "KAREN",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-27",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.014370",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "99105590A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "N",
            "affiliation": "N",
            "endpointDescription": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "N",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "N",
            "address_1": "320 W 61st Ave",
            "city": "Hobart",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463426490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in La Grange, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.

Verify at the official NPI Registry.