Active NPI
Kali R Carlson, MOT, OTR/L
- Occupational Therapist
- Lake Geneva, WI
National Provider Identifier
1851752893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 10205
- Practice address
- N2680 S Como Rd
Lake Geneva, WI 53147-3430 - Phone
- (262) 215-4326
- NPI assigned
- Mar 18, 2016
- 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 | OT-1538 | ID | |
| Occupational Therapist | 225X00000X | 10205 | NC | Primary |
Addresses
Primary practice location
N2680 S Como Rd
Lake Geneva, WI 53147-3430
Mailing address
N2680 S Como Rd
Lake Geneva, WI 53147-3430
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
| License | State | Type | Specialty |
|---|---|---|---|
| OT-1538 | ID | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458259200000",
"number": "1851752893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N2680 S COMO RD",
"city": "LAKE GENEVA",
"state": "WI",
"postal_code": "531473430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N2680 S COMO RD",
"city": "LAKE GENEVA",
"state": "WI",
"postal_code": "531473430",
"telephone_number": "262-215-4326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLSON",
"first_name": "KALI",
"middle_name": "R",
"credential": "MOT, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-18",
"last_updated": "2016-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "ID",
"license": "OT-1538",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "10205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Geneva, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.