Provider Demographics
NPI:1013516301
Name:AYRAPETYAN, KARINA (OTR/L)
Entity type:Individual
Prefix:
First Name:KARINA
Middle Name:
Last Name:AYRAPETYAN
Suffix:
Gender:
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 WOODBINE LN
Mailing Address - Street 2:
Mailing Address - City:FOX RIVER GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60021-1227
Mailing Address - Country:US
Mailing Address - Phone:330-687-7117
Mailing Address - Fax:
Practice Address - Street 1:425 WOODBINE LN
Practice Address - Street 2:
Practice Address - City:FOX RIVER GROVE
Practice Address - State:IL
Practice Address - Zip Code:60021-1227
Practice Address - Country:US
Practice Address - Phone:330-687-7117
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-19
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056.013882225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics