Individual provider Active NPI

Karen Renee Erlacher, COTA

  • Occupational Therapy Assistant
  • Winston Salem, NC
National Provider Identifier
1629295860
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
4782 Issued in NC
Practice address
353 Jonestown Rd
#311
Winston Salem, NC 27104-4620
Phone
(336) 403-1990
NPI assigned
Apr 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 4782 NC Primary
Occupational Therapy Assistant 224Z00000X 991294 OR

Addresses

Primary practice location

353 Jonestown Rd
#311
Winston Salem, NC 27104-4620

Mailing address

353 Jonestown Rd
#311
Winston Salem, NC 27104-4620
Phone (336) 403-1990

Other identifiers 2

IdentifierTypeStateIssuer
4782OtherNCPROF LICENSE
991294OtherORPROF LICENSE

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
4782NCMDMental Health Counselor
991294ORMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629295860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 JONESTOWN RD",
            "address_2": "#311",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271044620",
            "telephone_number": "336-403-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 JONESTOWN RD",
            "address_2": "#311",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271044620",
            "telephone_number": "336-403-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERLACHER",
        "first_name": "KAREN",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NC",
            "license": "4782",
            "primary": true
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OR",
            "license": "991294",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROF LICENSE",
            "identifier": "4782",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROF LICENSE",
            "identifier": "991294",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.