Individual provider Active NPI

Karona Ocasio, MSPT

  • Physical Therapist
  • Charleston, SC
National Provider Identifier
1730363672
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5590 Issued in SC
Practice address
45 Sycamore Ave
Apt. #1728
Charleston, SC 29407-6710
Phone
(646) 295-8041
Fax
(843) 793-2400
NPI assigned
Dec 27, 2007
Last updated
Jun 18, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5590 SC Primary

Addresses

Primary practice location

45 Sycamore Ave
Apt. #1728
Charleston, SC 29407-6710

Mailing address

45 Sycamore Ave
Apt. #1728
Charleston, SC 29407-6710
Phone (646) 295-8041

Other identifiers 1

IdentifierTypeStateIssuer
TH1890MedicaidSC

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
5590SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Bilingual Physical Therapy, LLC Physical Therapist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213747200000",
    "number": "1730363672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 SYCAMORE AVE",
            "address_2": "APT. #1728",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294076710",
            "telephone_number": "646-295-8041",
            "fax_number": "843-793-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 SYCAMORE AVE",
            "address_2": "APT. #1728",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294076710",
            "telephone_number": "646-295-8041",
            "fax_number": "843-793-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCASIO",
        "first_name": "KARONA",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-27",
        "last_updated": "2008-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "5590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TH1890",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.