Individual provider Active NPI

Karrah M Metz, OTR/L

  • Occupational Therapist
  • Munster, IN
National Provider Identifier
1609264274
Registry record updated Apr 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056010413 Issued in IL
Practice address
730 45TH St
Munster, IN 46321-2818
Phone
(219) 924-3300
NPI assigned
Jan 5, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 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 056010413 IL Primary

Addresses

Primary practice location

730 45TH St
Munster, IN 46321-2818

Mailing address

600 Oakmont LN Ste 600C
Westmont, IL 60559-5548
Phone (630) 575-1980

Other practice location 1

856 N Superior Dr
Crown Point, IN 46307-8299
Phone (219) 213-3942

Other names 1

  • Karrah Adam Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kadam@OSNWI1911.srs-direct.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201109002282 IN Practitioner - Occupational Therapist in Private Practice 0941610646 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
056010413ILMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Team Rehabilitation Services, LLC CurrentSince Mar 15, 2022 Accepting new patients
Team Rehabilitation Services, LLC Occupational Therapist CurrentSince Mar 15, 2022 Accepting new patients

Locations

856 N Superior Dr
Crown Point, IN 46307
Phone (219) 213-3942

1992 E Stop 13 Rd
Indianapolis, IN 46227
Phone (317) 808-0230

33900 Harper Ave
Ste 104
Clinton Twp, MI 48035
Phone (586) 416-9100

Interoperability endpoints

  • Direct secure messaging: kadam@osnwi1911.srs-direct.com

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": "1420416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649030400000",
    "number": "1609264274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 OAKMONT LN STE 600C",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605595548",
            "telephone_number": "630-575-1980",
            "fax_number": "630-928-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 45TH ST",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212818",
            "telephone_number": "219-924-3300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "856 N Superior Dr",
            "address_purpose": "LOCATION",
            "city": "Crown Point",
            "state": "IN",
            "postal_code": "463078299",
            "country_code": "US",
            "telephone_number": "219-213-3942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "METZ",
        "first_name": "KARRAH",
        "middle_name": "M",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-05",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056010413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kadam@OSNWI1911.srs-direct.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "730 45th St",
            "city": "Munster",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463212818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KARRAH",
            "last_name": "ADAM",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Munster, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.