Individual provider Active NPI

Karen Kathryn Reckamp, OTR/L ATP, SMS

  • Occupational Therapist
  • Saint Johns, FL
National Provider Identifier
1982870648
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT4378 Issued in FL
Practice address
1728 Pennan PL
Saint Johns, FL 32259-8201
Phone
(904) 287-8233
Fax
(904) 287-8233
NPI assigned
May 2, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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 OT4378 FL Primary

Addresses

Primary practice location

1728 Pennan PL
Saint Johns, FL 32259-8201

Mailing address

1728 Pennan PL
Saint Johns, FL 32259-8201
Phone (904) 287-8233

Other identifiers 1

IdentifierTypeStateIssuer
016708800MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250429003874 FL Practitioner - Occupational Therapist in Private Practice 1658897947 Practice locations: St Johns, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT4378FLMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1209686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1982870648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1728 PENNAN PL",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322598201",
            "telephone_number": "904-287-8233",
            "fax_number": "904-287-8233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1728 PENNAN PL",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322598201",
            "telephone_number": "904-287-8233",
            "fax_number": "904-287-8233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RECKAMP",
        "first_name": "KAREN",
        "middle_name": "KATHRYN",
        "credential": "OTR/L ATP, SMS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-02",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT4378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016708800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Johns, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; 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.