Angela Rae Carter, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT4969 Issued in CA

Practice address

9111 Fletcher Dr
La Mesa, CA 91941-4402

Phone

(619) 741-8676

NPI assigned

Jan 30, 2007

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

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mobile Therapy and ConsultingGroup PAC ID 3375620081, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Mobile Therapy and Consulting

  • Physical Therapist
  • Santee, CA
  • NPI 1982889499

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Sabonjian Speech Services, Inc.

  • Speech-Language Pathologist
  • La Mesa, CA
  • NPI 1841425584

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023155165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9111 FLETCHER DR",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919414402",
            "telephone_number": "619-741-8676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9111 FLETCHER DR",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919414402",
            "telephone_number": "619-741-8676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "ANGELA",
        "middle_name": "RAE",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT4969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randy Lawrence Carrillo, MA MFT
• Ashley Carroll
• Theresa Carroll, LCSW
• James Bernard Carry II, M.D.
• Jazlin Carswell, APCC
• Ashlyn Virginia Carter, OTR/L
• Scott William Carter, IDC
• Whitney Carter
• Tristana Nicole Casey, MFT MFC 44348
• Nataly Isabel Castaneda, RN

• Occupational Therapist in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Occupational Therapist in California

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.