Active NPI
Karla Michelle Chaff, OTR
- Pediatric Occupational Therapist
- Taylors, SC
National Provider Identifier
1467525899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 5307
- Practice address
- 22 River Park LN
Taylors, SC 29687-5438 - Phone
- (404) 593-3489
- NPI assigned
- Nov 15, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OT003206 | GA | |
| Pediatric Occupational Therapist | 225XP0200X | 5307 | SC | Primary |
Addresses
Primary practice location
22 River Park LN
Taylors, SC 29687-5438
Mailing address
22 River Park LN
Taylors, SC 29687-5438
Phone (404) 593-3489
Other practice location 1
1068 Walker Dr
Decatur, GA 30030-4749
Phone (404) 593-3489
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000886476E | Medicaid | GA |
Other names 1
- Ms. Karla Michelle Daniel
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 |
|---|---|---|---|
| OT003206 | GA | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555286400000",
"number": "1467525899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 RIVER PARK LN",
"city": "TAYLORS",
"state": "SC",
"postal_code": "296875438",
"telephone_number": "404-593-3489",
"fax_number": "404-288-7996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 RIVER PARK LN",
"city": "TAYLORS",
"state": "SC",
"postal_code": "296875438",
"telephone_number": "404-593-3489"
}
],
"practiceLocations": [
{
"address_1": "1068 Walker Dr",
"address_purpose": "LOCATION",
"city": "Decatur",
"state": "GA",
"postal_code": "300304749",
"country_code": "US",
"telephone_number": "404-593-3489",
"fax_number": "404-288-7996",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHAFF",
"first_name": "KARLA",
"middle_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-15",
"last_updated": "2019-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "GA",
"license": "OT003206",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "SC",
"license": "5307",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000886476E",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KARLA",
"last_name": "DANIEL",
"middle_name": "MICHELLE",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Taylors, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.