Active NPI
Roger Earl Carlson, OTR
- Occupational Therapist
- North Canton, OH
National Provider Identifier
1033310230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 005255
- Practice address
- 7233 Whipple Ave NW
North Canton, OH 44720-7137 - Phone
- (330) 498-8200
- NPI assigned
- May 29, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 005255 | OH | Primary |
Addresses
Primary practice location
7233 Whipple Ave NW
North Canton, OH 44720-7137
Mailing address
5724 Ensign Rd
West Farmington, OH 44491-9721
Phone (440) 548-2745
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005255 | OH | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033310230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5724 ENSIGN RD",
"city": "WEST FARMINGTON",
"state": "OH",
"postal_code": "444919721",
"telephone_number": "440-548-2745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7233 WHIPPLE AVE NW",
"city": "NORTH CANTON",
"state": "OH",
"postal_code": "447207137",
"telephone_number": "330-498-8200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLSON",
"first_name": "ROGER",
"middle_name": "EARL",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "005255",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Canton, OH
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.