Individual provider Active NPI

Karen Stanley, MS OTR/L

  • Pediatric Occupational Therapist
  • Santa Rosa, CA
National Provider Identifier
1790023232
Registry record updated Jan 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT10796 Issued in CA
Practice address
340 Tesconi Cir Ste C
Santa Rosa, CA 95401-4676
Phone
(707) 546-9160
Fax
(707) 546-1338
NPI assigned
Jan 17, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT10796 CA
Pediatric Occupational Therapist 225XP0200X OT10796 CA Primary

Addresses

Primary practice location

340 Tesconi Cir Ste C
Santa Rosa, CA 95401-4676

Mailing address

340 Tesconi Cir Ste C
Santa Rosa, CA 95401-4676
Phone (707) 546-9160

Other names 1

  • Karen Sasso Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
OT10796CAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Redwood Pediatric Therapy Associates Inc Past Accepting new patients
Redwood Pediatric Therapy Associates Inc Occupational Therapist Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1358380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358380800000",
    "number": "1790023232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 TESCONI CIR STE C",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014676",
            "telephone_number": "707-546-9160",
            "fax_number": "707-546-1338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 TESCONI CIR STE C",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014676",
            "telephone_number": "707-546-9160",
            "fax_number": "707-546-1338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "KAREN",
        "credential": "MS OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-17",
        "last_updated": "2013-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT10796",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "OT10796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "SASSO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; 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.