Individual provider Active NPI

Kara Leigh Kikuta, OT

  • Occupational Therapist
  • Timonium, MD
National Provider Identifier
1467631382
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
06146 Issued in MD
Practice address
61 E Padonia Rd Ste E
Timonium, MD 21093-2346
Phone
(410) 415-1992
NPI assigned
Oct 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 06146 MD Primary

Addresses

Primary practice location

61 E Padonia Rd Ste E
Timonium, MD 21093-2346

Mailing address

61 E Padonia Rd Ste E
Timonium, MD 21093-2346
Phone (410) 415-1992

Other practice location 1

11747 Oakwood Rd
Conneaut Lake, PA 16316-4149
Phone (661) 599-7993

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170922000653 MD Practitioner - Occupational Therapist in Private Practice 2264706787 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
West Virginia University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therafit Enterprises IncGroup PAC ID 8921255688, 33 clinicians

Practice addresses (Care Compare)

511 Jermor LN
Suite 102
Westminster, MD 21157-6152
Phone (410) 871-2494

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Therafit Enterprises, Inc. Occupational Therapist CurrentSince Aug 14, 2017 Accepting new patients
Therafit Enterprises, Inc. Occupational Therapist CurrentSince Aug 14, 2017 Accepting new patients

Locations

61 E Padonia Rd
Ste E
Timonium, MD 21093
Phone (410) 415-1992

511 Jermor Ln
Ste 102
Westminster, MD 21157
Phone (410) 415-1992

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.

NPI Registry JSON

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

{
    "created_epoch": "1193443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1467631382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 E PADONIA RD STE E",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210932346",
            "telephone_number": "410-415-1992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 E PADONIA RD STE E",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210932346",
            "telephone_number": "410-415-1992"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11747 Oakwood Rd",
            "address_purpose": "LOCATION",
            "city": "Conneaut Lake",
            "state": "PA",
            "postal_code": "163164149",
            "country_code": "US",
            "telephone_number": "661-599-7993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIKUTA",
        "first_name": "KARA",
        "middle_name": "LEIGH",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "06146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Timonium, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.