Individual provider Active NPI

Karen M Bispo, COTA

  • Occupational Therapy Assistant
  • Murrells Inlet, SC
National Provider Identifier
1669692877
Registry record updated Sep 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
2911 Issued in SC
Practice address
9405 Highway 17 Byp
Attn: PHS-SC NHC Garden City
Murrells Inlet, SC 29576-9301
Phone
(843) 650-2213
NPI assigned
Apr 27, 2007
Last updated
Sep 30, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 2911 SC Primary

Addresses

Primary practice location

9405 Highway 17 Byp
Attn: PHS-SC NHC Garden City
Murrells Inlet, SC 29576-9301

Mailing address

9405 Highway 17 Byp
Attn: PHS-SC NHC Garden City
Murrells Inlet, SC 29576-9301
Phone (843) 650-2213

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

NPI Registry JSON

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475193600000",
    "number": "1669692877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9405 HIGHWAY 17 BYP",
            "address_2": "ATTN: PHS-SC NHC GARDEN CITY",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295769301",
            "telephone_number": "843-650-2213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9405 HIGHWAY 17 BYP",
            "address_2": "ATTN: PHS-SC NHC GARDEN CITY",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295769301",
            "telephone_number": "843-650-2213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISPO",
        "first_name": "KAREN",
        "middle_name": "M",
        "name_prefix": "Miss",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-27",
        "last_updated": "2016-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "SC",
            "license": "2911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrells Inlet, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2016; 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.