Active NPI
Karla Jo Olson, MOT
- Occupational Therapist
- Spokane Valley, WA
National Provider Identifier
1477759595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT3340
- Practice address
- 222 S Evergreen Rd
Spokane Valley, WA 99216-0834 - Phone
- (509) 928-2222
- NPI assigned
- Jun 25, 2007
- Last updated
- Jun 21, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT00003340 | WA | |
| Occupational Therapist | 225X00000X | OT3340 | WA | Primary |
Addresses
Primary practice location
222 S Evergreen Rd
Spokane Valley, WA 99216-0834
Mailing address
5527 E 15TH Ave
Spokane Valley, WA 99212-3204
Phone (509) 995-7776
Other names 1
- Karla Jo Roberts
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
| License | State | Type | Specialty |
|---|---|---|---|
| OT3340 | WA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687305600000",
"number": "1477759595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5527 E 15TH AVE",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992123204",
"telephone_number": "509-995-7776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 S EVERGREEN RD",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992160834",
"telephone_number": "509-928-2222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "KARLA",
"middle_name": "JO",
"credential": "MOT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-25",
"last_updated": "2023-06-21",
"certification_date": "2023-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "OT00003340",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "OT3340",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KARLA",
"last_name": "ROBERTS",
"middle_name": "JO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Spokane Valley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.