Individual provider Active NPI

Karen Lee Craig, OTR

  • Occupational Therapist
  • Port St Lucie, FL
National Provider Identifier
1669505814
Registry record updated Jan 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT7000 Issued in FL
Practice address
479 NW Prima Vista Blvd
Port St Lucie, FL 34983-8731
Phone
(772) 408-4848
Fax
(772) 408-0978
NPI assigned
Mar 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2017

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 OT7000 FL Primary

Addresses

Primary practice location

479 NW Prima Vista Blvd
Port St Lucie, FL 34983-8731

Mailing address

479 NW Prima Vista Blvd
Port St Lucie, FL 34983-8731
Phone (772) 408-4848

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484179200000",
    "number": "1669505814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "479 NW PRIMA VISTA BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349838731",
            "telephone_number": "772-408-4848",
            "fax_number": "772-408-0978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "479 NW PRIMA VISTA BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349838731",
            "telephone_number": "772-408-4848",
            "fax_number": "772-408-0978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "KAREN",
        "middle_name": "LEE",
        "name_prefix": "Miss",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2017-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT7000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; 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.