Active NPI
Karina Black, Otr/L & Associates
- Pediatric Occupational Therapist
- Boulder, CO
National Provider Identifier
1942801279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- Legal business name
- KARINA BLACK, OTR/L & ASSOCIATES
- Practice address
- 1023 Forest Ave
Boulder, CO 80304-2556 - Phone
- (760) 799-5030
- NPI assigned
- Nov 3, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Karina Black, OTR/L
- Title
- Owner
- Phone
- (760) 799-5030
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | |||
| Pediatric Occupational Therapist | 225XP0200X | Primary |
Addresses
Primary practice location
1023 Forest Ave
Boulder, CO 80304-2556
Mailing address
1023 Forest Ave
Boulder, CO 80304-2556
National Provider Directory
National Provider DirectoryLocations
5277 Manhattan Cir
Ste 111
Boulder, CO 80303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604361600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1643846400000",
"number": "1942801279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1023 FOREST AVE",
"city": "BOULDER",
"state": "CO",
"postal_code": "803042556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1023 FOREST AVE",
"city": "BOULDER",
"state": "CO",
"postal_code": "803042556",
"telephone_number": "760-799-5030"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KARINA BLACK, OTR/L & ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-03",
"last_updated": "2022-02-03",
"certification_date": "2022-02-03",
"status": "A",
"authorized_official_last_name": "BLACK",
"authorized_official_first_name": "KARINA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "760-799-5030",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "OTR/L"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist, Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.