Active NPI
Karen G Koetzle
- Occupational Therapist
- Cincinnati, OH
National Provider Identifier
1851437016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OH-4037
- Practice address
- 3865 Beech St
Suite 7
Cincinnati, OH 45227-3652 - Phone
- (513) 561-2237
- NPI assigned
- Jan 29, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OH-4037 | OH | Primary |
| Occupational Therapist | 225X00000X | KY-R2136 | KY |
Addresses
Primary practice location
3865 Beech St
Suite 7
Cincinnati, OH 45227-3652
Mailing address
3865 Beech St
Suite 7
Cincinnati, OH 45227-3652
Phone (513) 561-2237
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251114003510 | OH | Practitioner - Occupational Therapist in Private Practice | 0749771913 |
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1996
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1551 Aristides Blvd Apt
Suite 1102
Lexington, KY 40511-1671
228 Park Ave S
Suite 36053
New York, NY 10003-1502
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| KY-R2136 | KY | MD | Occupational Therapist |
| OH-4037 | OH | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JH Therapy Services | Occupational Therapist | Current | Accepting new patients |
| JH Therapy Services | Occupational Therapist | Current | Accepting new patients |
Locations
228 Park Ave S
New York, NY 10003
Phone (215) 588-2144
2722 Erie Ave
Cincinnati, OH 45208
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.
-
- Occupational Therapist
- Cincinnati, OH
- NPI 1013732122
-
- Occupational Therapist
- Lapeer, MI
- NPI 1104618180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851437016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3865 BEECH ST",
"address_2": "SUITE 7",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452273652",
"telephone_number": "513-561-2237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3865 BEECH ST",
"address_2": "SUITE 7",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452273652",
"telephone_number": "513-561-2237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOETZLE",
"first_name": "KAREN",
"middle_name": "G",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "OH-4037",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KY",
"license": "KY-R2136",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.