Individual provider Active NPI

Karen Elizabeth Wrinkle, OTR/L

  • Specialist
  • N Hollywood, CA
National Provider Identifier
1871823062
Registry record updated Jan 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
OT1315 Issued in CA
Practice address
6400 Laurel Canyon Blvd Ste 560
N Hollywood, CA 91606-1569
Phone
(818) 763-0136
Fax
(818) 763-3838
NPI assigned
Jan 11, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X OT1315 CA Primary

Addresses

Primary practice location

6400 Laurel Canyon Blvd Ste 560
N Hollywood, CA 91606-1569

Mailing address

28737 Aries St
Agoura Hills, CA 91301-1710
Phone (818) 519-2481

Other names 1

  • Karen Elizabeth Wagner 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

State licenses

LicenseStateTypeSpecialty
OT1315CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Works, Inc. PastSince Jul 23, 2007 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1263168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263168000000",
    "number": "1871823062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28737 ARIES ST",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913011710",
            "telephone_number": "818-519-2481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 LAUREL CANYON BLVD STE 560",
            "city": "N HOLLYWOOD",
            "state": "CA",
            "postal_code": "916061569",
            "telephone_number": "818-763-0136",
            "fax_number": "818-763-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRINKLE",
        "first_name": "KAREN",
        "middle_name": "ELIZABETH",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-11",
        "last_updated": "2010-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "OT1315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "WAGNER",
            "middle_name": "ELIZABETH",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in N Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; 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.