Karen Marie Ellerbrock, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

AA499095 Issued in CA

Practice address

15720 Bernardo Center Dr
San Diego, CA 92127-5861

Phone

(858) 672-3900

NPI assigned

Aug 23, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Karen Marie Kent Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534982400000",
    "number": "1720569254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13685 STOWE DR STE A",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920648824",
            "telephone_number": "858-391-0052",
            "fax_number": "858-391-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15720 BERNARDO CENTER DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921275861",
            "telephone_number": "858-672-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLERBROCK",
        "first_name": "KAREN",
        "middle_name": "MARIE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-23",
        "last_updated": "2018-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "AA499095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "KENT",
            "middle_name": "MARIE",
            "credential": "OTR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ellen Medical Transport
• Rebecca Ann Ellens
• Adam Takeo Ellenthal, DDS, MPH
• Kandace Lyn Eller, GNP-BC
• Christopher Richard Elleraas, D.C.
• Sharon Ellermann
• Peter Ellew, B.A.
• James J Ellingson, M.D.
• Jarrett F. Ellington, PSY.D.
• Natalie E. Ellington, MD

• Occupational Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; 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.