Active NPI
Karson Anderson Church, OTR/L
- Occupational Therapist
- Wilkesboro, NC
National Provider Identifier
1407679855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 17250
- Practice address
- 407 Oakwoods Rd
Wilkesboro, NC 28697-2927 - Phone
- (336) 667-1555
- NPI assigned
- Nov 4, 2024
- Last updated
- Nov 4, 2024
- 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 Therapist | 225X00000X | 17250 | NC | Primary |
Addresses
Primary practice location
407 Oakwoods Rd
Wilkesboro, NC 28697-2927
Mailing address
PO Box 1024
North Wilkesboro, NC 28659-1024
Phone (336) 667-1555
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 'I Can' Pediatric Therapies, LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatric Occupational Therapist
- Wilkesboro, NC
- NPI 1073873824
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730678400000",
"number": "1407679855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1024",
"city": "NORTH WILKESBORO",
"state": "NC",
"postal_code": "286591024",
"telephone_number": "336-667-1555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 OAKWOODS RD",
"city": "WILKESBORO",
"state": "NC",
"postal_code": "286972927",
"telephone_number": "336-667-1555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHURCH",
"first_name": "KARSON",
"middle_name": "ANDERSON",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-04",
"last_updated": "2024-11-04",
"certification_date": "2024-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "17250",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilkesboro, NC
- Carrigan & Associates Counseling Inc (Main Street Station Psycho Social Rehabilitation)
- Carrigan & Associates Counseling, Inc. (Main St. Station)
- Heather L Casey, RD
- Catawba Chiropractic Corporation (Wilkesboro Chiropractic Clinic)
- Haylee Breanna Church, M.S., CCC-SLP
- Mary Lou Church, M.D.
- Stacy Wagoner Cliff, MS RD LDN
- Ronald Ernest Cohn, DC
- Elizabeth C Coleman, EDS, LPC, NCC
- College Street Operating Company, LLC (Ridge Valley Center for Nursing and Rehabilitation)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.