Active NPI
Carrie Ann Powers, COTA
- Occupational Therapy Assistant
- New Providence, NJ
National Provider Identifier
1053519124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- TA09000800
- Practice address
- 144 Gales Dr
New Providence, NJ 07974-2900 - Phone
- (908) 464-8600
- NPI assigned
- Jul 10, 2007
- Sex
- Female
- 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 Therapy Assistant | 224Z00000X | TA09000800 | NJ | Primary |
Addresses
Primary practice location
144 Gales Dr
New Providence, NJ 07974-2900
Mailing address
126 Dyckman PL
Basking Ridge, NJ 07920-1412
Phone (908) 499-3292
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 |
|---|---|---|---|
| TA09000800 | NJ | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203811200000",
"number": "1053519124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "126 DYCKMAN PL",
"city": "BASKING RIDGE",
"state": "NJ",
"postal_code": "079201412",
"telephone_number": "908-499-3292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "144 GALES DR",
"city": "NEW PROVIDENCE",
"state": "NJ",
"postal_code": "079742900",
"telephone_number": "908-464-8600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWERS",
"first_name": "CARRIE",
"middle_name": "ANN",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-10",
"last_updated": "2008-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NJ",
"license": "TA09000800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Providence, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.