Individual provider Active NPI

Karen B Ayala, OTR/CHT

  • Occupational Therapist
  • Cedar Park, TX
National Provider Identifier
1417283698
Registry record updated Oct 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
113187 Issued in TX
Practice address
2519 S Lakeline Blvd, Suite 100
Tillman Physical Therapy & Sports Training Center, Inc
Cedar Park, TX 78613-2964
Phone
(512) 331-6200
Fax
(512) 331-4312
NPI assigned
Oct 23, 2009
Last updated
Oct 23, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 113187 TX Primary
Hand Occupational Therapist 225XH1200X 1011100582 TX

Addresses

Primary practice location

2519 S Lakeline Blvd, Suite 100
Tillman Physical Therapy & Sports Training Center, Inc
Cedar Park, TX 78613-2964

Mailing address

2519 S Lakeline Blvd, Suite 100
Tillman Physical Therapy & Sports Training Center, Inc
Cedar Park, TX 78613-2964
Phone (512) 331-6200

Other identifiers 3

IdentifierTypeStateIssuer
1011100582OtherTXCERTIFIED HAND THERAPIST
OT 1397OtherCAOCCUPATIONAL THERAPY LICENSE
113187OtherTXTEXAS LICENSE-OTR

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
113187TXMDOccupational Therapist
1011100582TXMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Texas Pediatric Orthopedics and Scoliosis Surgery PA Past Accepting new patients
Central Texas Pediatric Orthopedics and Scoliosis Surgery PA Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1256256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256256000000",
    "number": "1417283698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2519 S LAKELINE BLVD, SUITE 100",
            "address_2": "TILLMAN PHYSICAL THERAPY & SPORTS TRAINING CENTER, INC",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132964",
            "telephone_number": "512-331-6200",
            "fax_number": "512-331-4312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2519 S LAKELINE BLVD, SUITE 100",
            "address_2": "TILLMAN PHYSICAL THERAPY & SPORTS TRAINING CENTER, INC",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132964",
            "telephone_number": "512-331-6200",
            "fax_number": "512-331-4312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYALA",
        "first_name": "KAREN",
        "middle_name": "B",
        "credential": "OTR/CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-23",
        "last_updated": "2009-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "113187",
            "primary": true
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "TX",
            "license": "1011100582",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED HAND THERAPIST",
            "identifier": "1011100582",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL THERAPY LICENSE",
            "identifier": "OT 1397",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS LICENSE-OTR",
            "identifier": "113187",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2009; 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.