Individual provider Active NPI

Karen Ni, OTD, OTR/L

  • Occupational Therapist
  • Orange, CA
National Provider Identifier
1376944843
Registry record updated Jul 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
585 N Olive St
Orange, CA 92867-6621
Phone
(424) 262-9617
NPI assigned
Sep 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2018

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 Primary

Addresses

Primary practice location

585 N Olive St
Orange, CA 92867-6621

Mailing address

2409 Via Campesina
Palos Verdes Estates, CA 90274-1319
Phone (424) 262-9617

Other practice location 1

2409 Via Campesina
Palos Verdes Estates, CA 90274-1319
Phone (424) 262-9617

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241219003408 CA Practitioner - Occupational Therapist in Private Practice 0143757708 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sundog Therapy Services, Inc. Current Accepting new patients
New Life Physical Therapy Services, PC Occupational Therapist CurrentSince Nov 13, 2024 Accepting new patients
New Life Healthcare, LLC Past Accepting new patients

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": "1410739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532304000000",
    "number": "1376944843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2409 VIA CAMPESINA",
            "city": "PALOS VERDES ESTATES",
            "state": "CA",
            "postal_code": "902741319",
            "telephone_number": "424-262-9617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 N OLIVE ST",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928676621",
            "telephone_number": "424-262-9617"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2409 Via Campesina",
            "address_purpose": "LOCATION",
            "city": "Palos Verdes Estates",
            "state": "CA",
            "postal_code": "902741319",
            "country_code": "US",
            "telephone_number": "424-262-9617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NI",
        "first_name": "KAREN",
        "name_prefix": "Dr.",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-15",
        "last_updated": "2018-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.