Individual provider Active NPI

Karra Marie Krug, MSOTR/L

  • Occupational Therapist
  • Tempe, AZ
National Provider Identifier
1568588267
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTH-005958 Issued in AZ
Practice address
8700 S Kyrene Rd
Tempe, AZ 85284-2197
Phone
(480) 541-1000
NPI assigned
Mar 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT01137 RI
Occupational Therapist 225X00000X OTH-005958 AZ Primary
Occupational Therapist 225X00000X 05871 MD

Addresses

Primary practice location

8700 S Kyrene Rd
Tempe, AZ 85284-2197

Mailing address

2929 W Silver Fox Way
Phoenix, AZ 85045-2263
Phone (860) 334-8176

Other names 1

  • Karra Pantalone Former name

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

LicenseStateTypeSpecialty
OTH-005958AZMDOccupational Therapist
05871MDMDOccupational Therapist
OT01137RIMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1568588267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 W SILVER FOX WAY",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850452263",
            "telephone_number": "860-334-8176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 S KYRENE RD",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852842197",
            "telephone_number": "480-541-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUG",
        "first_name": "KARRA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MSOTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "RI",
            "license": "OT01137",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "OTH-005958",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "05871",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARRA",
            "last_name": "PANTALONE",
            "credential": "MSOTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; 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.