NPIMap

Individual provider Active NPI

Karen A. Geallis

  • Occupational Therapist
  • Crystal Lake, IL
National Provider Identifier
1992959209
Registry record updated Nov 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
411 E Congress Pkwy
Suite B
Crystal Lake, IL 60014-6247
Phone
(815) 459-3810
Fax
(815) 356-3550
NPI assigned
Nov 13, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2008

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 IL Primary

Addresses

Primary practice location

411 E Congress Pkwy
Suite B
Crystal Lake, IL 60014-6247

Mailing address

411 E Congress Pkwy
Suite B
Crystal Lake, IL 60014-6247
Phone (815) 459-3810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Milestones Therapy Center P.C. Occupational Therapist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1226534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226534400000",
    "number": "1992959209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 E CONGRESS PKWY",
            "address_2": "SUITE B",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600146247",
            "telephone_number": "815-459-3810",
            "fax_number": "815-356-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 E CONGRESS PKWY",
            "address_2": "SUITE B",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600146247",
            "telephone_number": "815-459-3810",
            "fax_number": "815-356-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEALLIS",
        "first_name": "KAREN",
        "middle_name": "A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-13",
        "last_updated": "2008-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2008; 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.