Individual provider Active NPI

Carla W Walker, OT

  • Occupational Therapist
  • Saint Louis, MO
National Provider Identifier
1619292174
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2001000036 Issued in MO
Practice address
5200 Berthold Ave
Dept Occupational Therapy
Saint Louis, MO 63110-1422
Phone
(314) 286-1669
Fax
(314) 627-7219
NPI assigned
Mar 28, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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 2001000036 MO Primary

Addresses

Primary practice location

5200 Berthold Ave
Dept Occupational Therapy
Saint Louis, MO 63110-1422

Mailing address

PO Box 7412011
Chicago, IL 60674-2011
Phone (314) 286-1669

Other identifiers 1

IdentifierTypeStateIssuer
470055876MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Washington University

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100625000037 MO Practitioner - Occupational Therapist in Private Practice 0244361806 Reassigns benefits to 1 organization

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
Washington UniversityGroup PAC ID 9830008770, 2,968 clinicians

Practice addresses (Care Compare)

4444 Forest Park Ave
Saint Louis, MO 63108-2212

5200 Berthold Ave
Saint Louis, MO 63110-1422
Phone (314) 286-1669

Merit-based Incentive Payment System (MIPS)

Final score
84.2 of 100Reported as group
Quality
71.6
Promoting interoperability
100
Improvement activities
40
Cost
75.75

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Washington University Occupational Therapist CurrentSince Mar 1, 2014 Accepting new patients
Washington University CurrentSince Mar 1, 2014 Accepting new patients
Washington University Past Accepting new patients

Locations

4444 Forest Park Ave
Ste 2210
Saint Louis, MO 63108
Phone (314) 203-6250

4444 Forest Park Ave
Ste 2206
Saint Louis, MO 63108

4444 Forest Park Ave
Saint Louis, MO 63108
Phone (314) 286-1600

4444 Forest Park Ave
#8505
Saint Louis, MO 63108
Phone (314) 286-1612

1 Barnes Hospital Plz
Saint Louis, MO 63110
Phone (314) 362-9170

5200 Berthold Ave
Saint Louis, MO 63110
Phone (314) 289-4200

4444 Forest Park Ave
#C
Saint Louis, MO 63108

1631 A Roy Dr
Washington, MO 63090

Organizations & group practices 3

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": "1269734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1619292174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7412011",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606742011",
            "telephone_number": "314-286-1669",
            "fax_number": "314-627-7219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 BERTHOLD AVE",
            "address_2": "DEPT OCCUPATIONAL THERAPY",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101422",
            "telephone_number": "314-286-1669",
            "fax_number": "314-627-7219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "CARLA",
        "middle_name": "W",
        "name_prefix": "Ms.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-28",
        "last_updated": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2001000036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "470055876",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Washington University",
            "address_1": "5200 Berthold Ave",
            "address_2": "Dept Occupational Therapy",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631101422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; 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.

Verify at the official NPI Registry.