Karl Carson, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC004253L Issued in PA

Practice address

1910 Reed St
Philadelphia, PA 19146-4637

Phone

(585) 507-8125

Fax

(484) 848-5181

NPI assigned

Mar 14, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Therapendence at-Home Rehab LLCGroup PAC ID 6800207135, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Therapendence at-Home Rehab LLC

  • Physical Therapy Clinic/Center
  • Philadelphia, PA
  • NPI 1285236505
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1678752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1962103119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 E BEECHWOOD AVE",
            "city": "OAKLYN",
            "state": "NJ",
            "postal_code": "081071321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 REED ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191464637",
            "telephone_number": "585-507-8125",
            "fax_number": "484-848-5181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARSON",
        "first_name": "KARL",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-14",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC004253L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charnae Carruth, MSOT, OTR/L
• Janice M. Carsello, MSN, CRNP
• Ilyssa Carsia, CRNP
• Holton Carsley, MS, LPC
• Faith Carson, PA-C
• Lee Fulton Carson, MSW, LSW
• Lesley S Carson, MD
• Charles William Carspecken, MD
• Donna D Carstens, M.D.
• Russell Carstens, MD

• Occupational Therapist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.