Karen Abby Ilgen

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

610 Issued in SC

Practice address

1152 Wellington Dr
Charleston, SC 29412-4846

Phone

(843) 991-2694

NPI assigned

Nov 6, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Kid Works Occupational Therapy LLC

  • Pediatric Occupational Therapist
  • Charleston, SC
  • NPI 1619345824

  Pediatrics

  NPD (past) Authorized official

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982773016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1152 WELLINGTON DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294124846",
            "telephone_number": "843-991-2694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1152 WELLINGTON DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294124846",
            "telephone_number": "843-991-2694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILGEN",
        "first_name": "KAREN",
        "middle_name": "ABBY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "SC",
            "license": "610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "THO170",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Esosa Destiny Ighodaro
• Jose Andres Iglesias, MD
• Malorie Igo, LPC-A
• Rachel Kelly Ikert, CRNA
• Emily Ilderton
• Romina Gil Ilic, M.D.
• Imagine Physical Therapy
• Imagine Physical Therapy in West Ashley, LLC
• Imagine Physical Therapy on Daniel Island LLC
• Michelle Marie Imlay, PMHNP-BC

• Pediatric Occupational Therapist in Charleston, SC
• Providers in Charleston, SC by specialty
• Pediatric Occupational Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.