Carissa Angelique Carrillo, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA-000025 Issued in AZ

Practice address

300 E Camino del Pinsapo
Sahuarita, AZ 85629-8739

Phone

(520) 599-3807

NPI assigned

Mar 4, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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.

• Tumble Tots Arizona

  • Pediatric Occupational Therapist
  • Sahuarita, AZ
  • NPI 1093566754
  NPD

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1003673260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E CAMINO DEL PINSAPO",
            "city": "SAHUARITA",
            "state": "AZ",
            "postal_code": "856298739",
            "telephone_number": "520-599-3807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E CAMINO DEL PINSAPO",
            "city": "SAHUARITA",
            "state": "AZ",
            "postal_code": "856298739",
            "telephone_number": "520-599-3807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRILLO",
        "first_name": "CARISSA",
        "middle_name": "ANGELIQUE",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AZ",
            "license": "OTA-000025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy Ann Bryte, OTR
• Amaranta Amatista Campos, LMT
• Caring Hearts of Sahuarita
• Angela Carlisle
• Susan Davis Carnahan
• Richard Cattron, DMD
• Changing Directions Therapy, PLLC
• Coates Vein Clinic, PLLC
• Griffin Ray Coates, MD
• Comprehensive Medical Care PC

• Occupational Therapy Assistant in Sahuarita, AZ
• Providers in Sahuarita, AZ by specialty
• Occupational Therapy Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; 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.