Active NPI
Kara Burrow, COTA/L
- Occupational Therapy Assistant
- Madisonville, KY
National Provider Identifier
1386320596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 165363
- Practice address
- 150 Cornwall Dr
Madisonville, KY 42431-8781 - Phone
- (270) 825-0166
- NPI assigned
- Jun 22, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 165363 | KY | Primary |
Addresses
Primary practice location
150 Cornwall Dr
Madisonville, KY 42431-8781
Mailing address
PO Box 78
Mortons Gap, KY 42440-0078
Other names 1
- Kara Mullen
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 165363 | KY | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ridgewood Terrace, LLC | Current | Accepting new patients | |
| Vohra Post Acute Care Physicians of the East, PA | Past | Accepting new patients |
Locations
150 Cornwall Dr
Madisonville, KY 42431
Phone (270) 825-0166
Organizations & group practices 2
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.
-
- Skilled Nursing Facility
- Madisonville, KY
- NPI 1902847361
-
- Family Medicine Physician
- Miramar, FL
- NPI 1063848968
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687392000000",
"number": "1386320596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 78",
"city": "MORTONS GAP",
"state": "KY",
"postal_code": "424400078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 CORNWALL DR",
"city": "MADISONVILLE",
"state": "KY",
"postal_code": "424318781",
"telephone_number": "270-825-0166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURROW",
"first_name": "KARA",
"name_prefix": "Mrs.",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-22",
"last_updated": "2023-06-22",
"certification_date": "2023-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "KY",
"license": "165363",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KARA",
"last_name": "MULLEN",
"credential": "COTA/L",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Madisonville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.