Active NPI
Karen Todd, OTR/L
- Occupational Therapist
- La Grange, IL
National Provider Identifier
1336812262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056.014370
- 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
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 056.014370 | IL | MD | Occupational Therapist |
| 99105590A | IN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Mary Medical Center Inc | Past | 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.
-
- General Acute Care Hospital
- Hobart, IN
- NPI 1962504175
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.