Organization Active NPI

Karen Korzelius

  • Occupational Therapist
  • Albemarle, NC
National Provider Identifier
1477522811
Registry record updated Mar 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
KAREN KORZELIUS
Practice address
24807 S Business 52
Albemarle, NC 28001-8180
Phone
(704) 796-5493
Fax
(704) 986-2472
NPI assigned
Mar 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2017

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

Authorized official

Name
Mrs. Karen Korzelius, OTRLNPI 1336573856
Title
Sole Prorpietor
Phone
(704) 796-5493

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

24807 S Business 52
Albemarle, NC 28001-8180

Mailing address

50042 Horseshoe TRL
Albemarle, NC 28001-7628
Phone (704) 986-2472

Other identifiers 2

IdentifierTypeStateIssuer
7301373MedicaidNC
128FYOtherBCBS

Other names 1

  • Sensory Playground OT Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

330 N 2nd St
Ste B
Albemarle, NC 28001

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488412800000",
    "number": "1477522811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50042 HORSESHOE TRL",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280017628",
            "telephone_number": "704-986-2472",
            "fax_number": "704-986-2472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24807 S BUSINESS 52",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280018180",
            "telephone_number": "704-796-5493",
            "fax_number": "704-986-2472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN KORZELIUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-17",
        "last_updated": "2017-03-02",
        "status": "A",
        "authorized_official_last_name": "KORZELIUS",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "SOLE PRORPIETOR",
        "authorized_official_telephone_number": "704-796-5493",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTRL"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7301373",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "128FY",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sensory Playground OT Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albemarle, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; 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.