Active NPI
Karen Gatrell, CERTIFIED ORTHOTIST
- Orthotist
- Detroit, MI
National Provider Identifier
1891256111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotist
- License
- CO2650
- Practice address
- 6438 Woodward Ave
Detroit, MI 48202-3216 - Phone
- (313) 870-9610
- NPI assigned
- Mar 28, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | CO2650 | MI | Primary |
Addresses
Primary practice location
6438 Woodward Ave
Detroit, MI 48202-3216
Mailing address
6438 Woodward Ave
Detroit, MI 48202-3216
Phone (313) 870-9610
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 |
|---|---|---|---|
| CO2650 | MI | MD | Orthotist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anew Life Prosthetics and Orthotics LLC | Orthotist | Past | 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.
-
- Prosthetic/Orthotic Supplier
- Detroit, MI
- NPI 1932453594
Orthotist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553731200000",
"number": "1891256111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6438 WOODWARD AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482023216",
"telephone_number": "313-870-9610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6438 WOODWARD AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482023216",
"telephone_number": "313-870-9610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GATRELL",
"first_name": "KAREN",
"credential": "CERTIFIED ORTHOTIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-28",
"last_updated": "2019-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "MI",
"license": "CO2650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.