Individual provider Active NPI

Karol Mae Santistevan, OTR/L

  • Occupational Therapist
  • Casper, WY
National Provider Identifier
1902374093
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT-1381 Issued in WY
Practice address
3905 Ten Mile Rd
Casper, WY 82604-2894
Phone
(307) 267-7416
Fax
(949) 404-6346
NPI assigned
Nov 6, 2018
Last updated
Oct 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT-1381 WY Primary

Addresses

Primary practice location

3905 Ten Mile Rd
Casper, WY 82604-2894

Mailing address

5825 Thirty Three Mile Rd
Casper, WY 82604-9584
Phone (307) 267-7416

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190821003872 WY Practitioner - Occupational Therapist in Private Practice 2163750654 Receives reassigned benefits from 1 practitioner
Practice locations: Casper, WY

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
University of North Dakota School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3905 Ten Mile Rd
Casper, WY 82604-2894
Phone (307) 267-7416

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ropes and Roses Therapy Services Occupational Therapist CurrentSince Oct 8, 2023 Accepting new patients

Locations

4250 Six Mile Rd
Casper, WY 82604
Phone (307) 267-7416

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1541462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1902374093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5825 THIRTY THREE MILE RD",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826049584",
            "telephone_number": "307-267-7416",
            "fax_number": "307-473-7827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 TEN MILE RD",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826042894",
            "telephone_number": "307-267-7416",
            "fax_number": "949-404-6346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTISTEVAN",
        "first_name": "KAROL",
        "middle_name": "MAE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-06",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WY",
            "license": "OT-1381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; 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.

Verify at the official NPI Registry.