Active NPI
Karla Rhea Stevens, MS OTR/L
- Pediatric Occupational Therapist
- Chattanooga, TN
National Provider Identifier
1366687048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 4772
- Practice address
- 200 W Martin Luther King Blvd Ste 1000
Chattanooga, TN 37402-2571 - Phone
- (630) 212-8714
- Fax
- (800) 470-1905
- NPI assigned
- Dec 9, 2008
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 056.003602 | IL | |
| Pediatric Occupational Therapist | 225XP0200X | 4772 | TN | Primary |
Addresses
Primary practice location
200 W Martin Luther King Blvd Ste 1000
Chattanooga, TN 37402-2571
Mailing address
3658 Lilli Flora LN
Apison, TN 37302-1704
Phone (630) 212-8714
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056.003602 | IL | MD | Pediatric Occupational Therapist |
| 4772 | TN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Karla Stevens | Pediatrics | Current | Accepting new patients |
Locations
200 W Martin Luther King Blvd
Ste 1000
Chattanooga, TN 37402
Phone (423) 269-2255
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": "1228780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609113600000",
"number": "1366687048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3658 LILLI FLORA LN",
"city": "APISON",
"state": "TN",
"postal_code": "373021704",
"telephone_number": "630-212-8714",
"fax_number": "630-212-8714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W MARTIN LUTHER KING BLVD STE 1000",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374022571",
"telephone_number": "630-212-8714",
"fax_number": "800-470-1905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "KARLA",
"middle_name": "RHEA",
"name_prefix": "Mrs.",
"credential": "MS OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-09",
"last_updated": "2020-12-28",
"certification_date": "2020-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "IL",
"license": "056.003602",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "TN",
"license": "4772",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.