Individual provider Active NPI

Karla Rhea Stevens, MS OTR/L

  • Pediatric Occupational Therapist
  • Chattanooga, TN
National Provider Identifier
1366687048
Registry record updated Dec 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
4772 Issued in TN
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

Updated by the provider on Dec 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
056.003602ILMDPediatric Occupational Therapist
4772TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Karla Stevens Pediatrics CurrentSince Mar 4, 2021 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.

Verify at the official NPI Registry.