Active NPI
Karen Blake Carmosino, OT
- Occupational Therapist
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 9126
- Practice address
- 1915 Randolph Rd
Charlotte, NC 28207-1101 - Phone
- (704) 323-2000
- NPI assigned
- Mar 17, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 9126 | NC | Primary |
Addresses
Primary practice location
1915 Randolph Rd
Charlotte, NC 28207-1101
Mailing address
4601 Park Rd
Suite 300
Charlotte, NC 28209-3239
Phone (704) 323-2000
Other names 1
- Karen Rebecca Blake
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, AL, FL
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2860 Ronald Reagan Blvd
Suite 300
Cumming, GA 30041-6287
Phone (770) 977-7777
4012 N 9TH Ave
Pensacola, FL 32503-2824
Phone (850) 444-4777
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.9 of 100
- Promoting interoperability
- 94
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peachtree Orthopaedic Clinic PA | Occupational Therapist | Current | Accepting new patients |
| Peachtree Orthopaedic Clinic | Current | Accepting new patients |
Locations
11800 Amber Park Dr
Ste 200
Alpharetta, GA 30009
2001 Peachtree Rd NE
Ste 705
Atlanta, GA 30309
2860 Ronald Reagan Blvd
Ste 300
Cumming, GA 30041
Phone (404) 355-0742
Organizations & group practices 4
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.
-
- Orthopaedic Surgery Physician
- Atlanta, GA
- NPI 1811912611
Occupational Therapist
-
- Surgery Physician
- Jacksonville, FL
- NPI 1912953290
-
- Clinic/Center
- Daphne, AL
- NPI 1790714459
-
- Durable Medical Equipment & Medical Supplies
- Alpharetta, GA
- NPI 1588802474
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416960000000",
"number": "1528484383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4601 PARK RD",
"address_2": "SUITE 300",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282093239",
"telephone_number": "704-323-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1915 RANDOLPH RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282071101",
"telephone_number": "704-323-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARMOSINO",
"first_name": "KAREN",
"middle_name": "BLAKE",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-17",
"last_updated": "2014-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "9126",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KAREN",
"last_name": "BLAKE",
"middle_name": "REBECCA",
"credential": "OT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; 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.