Kara Lynn Depaoli

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056007544 Issued in IL

Practice address

465 42ND Ave
East Moline, IL 61244-4044

Phone

(309) 779-3490

Fax

(309) 779-5615

NPI assigned

Feb 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• At Home by Enhance Therapies LLC

  • Physical Therapist
  • Lakewood, NJ
  • NPI 1124603246

  IL, Occupational Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256083200000",
    "number": "1972577567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2619 W 59TH ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528062720",
            "telephone_number": "217-377-6828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 42ND AVE",
            "city": "EAST MOLINE",
            "state": "IL",
            "postal_code": "612444044",
            "telephone_number": "309-779-3490",
            "fax_number": "309-779-5615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPAOLI",
        "first_name": "KARA",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-13",
        "last_updated": "2009-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056007544",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IA",
            "license": "01716",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Howard Crawford Jr., LCSW
• CRG Em Operator, LLC
• Alexa Cruz
• Sara Daniels
• Kristin Marie Deblieck, M.S.,CCC-SLP
• Ellie Dilks, D.C.
• Sierra Divarco
• Kevin C Dodson
• Aisling Dowd
• Kathy Jean Dusthimer, APRN

• Occupational Therapist in East Moline, IL
• Providers in East Moline, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.