Active NPI
Elizabeth A Karl, OTR/L
- Occupational Therapist
- Lakeport, CA
National Provider Identifier
1790331205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT5560
- Practice address
- 485 Lake Vista Dr
Lakeport, CA 95453-6369 - Phone
- (707) 889-7240
- NPI assigned
- Aug 12, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Feeding, Eating & Swallowing Occupational Therapist | 225XF0002X | OT5560 | CA | |
| Gerontology Occupational Therapist | 225XG0600X | OT5560 | CA | |
| Mental Health Occupational Therapist | 225XM0800X | OT5560 | CA | |
| Neurorehabilitation Occupational Therapist | 225XN1300X | OT5560 | CA | |
| Physical Rehabilitation Occupational Therapist | 225XP0019X | OT5560 | CA | |
| Pediatric Occupational Therapist | 225XP0200X | OT5560 | CA | |
| Occupational Therapist | 225X00000X | OT5560 | CA | Primary |
Addresses
Primary practice location
485 Lake Vista Dr
Lakeport, CA 95453-6369
Mailing address
485 Lake Vista Dr
Lakeport, CA 95453-6369
Phone (707) 880-7240
Other names 1
- Chloe Karl
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT5560 | CA | MD | Neurorehabilitation Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565568000000",
"number": "1790331205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "485 LAKE VISTA DR",
"city": "LAKEPORT",
"state": "CA",
"postal_code": "954536369",
"telephone_number": "707-880-7240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "485 LAKE VISTA DR",
"city": "LAKEPORT",
"state": "CA",
"postal_code": "954536369",
"telephone_number": "707-889-7240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KARL",
"first_name": "ELIZABETH",
"middle_name": "A",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-12",
"last_updated": "2019-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "225XF0002X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Feeding, Eating & Swallowing",
"state": "CA",
"license": "OT5560",
"primary": false
},
{
"code": "225XG0600X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Gerontology",
"state": "CA",
"license": "OT5560",
"primary": false
},
{
"code": "225XM0800X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Mental Health",
"state": "CA",
"license": "OT5560",
"primary": false
},
{
"code": "225XN1300X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Neurorehabilitation",
"state": "CA",
"license": "OT5560",
"primary": false
},
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "CA",
"license": "OT5560",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "CA",
"license": "OT5560",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "OT5560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHLOE",
"last_name": "KARL",
"credential": "OTR/L",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Lakeport, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.