Individual provider Active NPI

Karly Fitzpatrick, OTR/L

  • Occupational Therapist
  • Bethlehem, PA
National Provider Identifier
1740022631
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR01175700 Issued in NJ
Practice address
2380 Schoenersville Rd Ste 200
Bethlehem, PA 18017-3602
Phone
(484) 215-4690
NPI assigned
Jun 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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 46TR01175700 NJ Primary

Addresses

Primary practice location

2380 Schoenersville Rd Ste 200
Bethlehem, PA 18017-3602

Mailing address

51 Newbrook LN
Springfield, NJ 07081-2909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240801000607 PA Practitioner - Occupational Therapist in Private Practice 5294271532 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
A Rise Above Occupational Therapy Services LLCGroup PAC ID 9032592647, 6 clinicians

Practice addresses (Care Compare)

2380 Schoenersville Rd
Bethlehem, PA 18017-3602
Phone (484) 215-4690

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
46TR01175700NJMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
A Rise Above Occupational Therapy Services, LLC Occupational Therapist CurrentSince Jul 12, 2024 Accepting new patients

Locations

2380 Schoenersville Rd
#200
Bethlehem, PA 18017
Phone (484) 215-4690

2380 Schoenersville Rd
Bethlehem, PA 18017
Phone (484) 215-4690

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": "1718064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1740022631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 NEWBROOK LN",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070812909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380 SCHOENERSVILLE RD STE 200",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180173602",
            "telephone_number": "484-215-4690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZPATRICK",
        "first_name": "KARLY",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR01175700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.