Active NPI
Sandra E. Carlson, OT
- Occupational Therapist
- West Chester, OH
National Provider Identifier
1063799641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5287
- Practice address
- 9902 Windisch Rd
West Chester, OH 45069-3804 - Phone
- (513) 755-6600
- Fax
- (513) 755-3762
- NPI assigned
- Nov 9, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 5287 | OH | Primary |
Addresses
Primary practice location
9902 Windisch Rd
West Chester, OH 45069-3804
Mailing address
9902 Windisch Rd
West Chester, OH 45069-3804
Phone (513) 755-6600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2187155 | Medicaid | OH |
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 |
|---|---|---|---|
| 5287 | OH | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abc Pediatric Therapy LLC | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320796800000",
"number": "1063799641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9902 WINDISCH RD",
"city": "WEST CHESTER",
"state": "OH",
"postal_code": "450693804",
"telephone_number": "513-755-6600",
"fax_number": "513-755-3762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9902 WINDISCH RD",
"city": "WEST CHESTER",
"state": "OH",
"postal_code": "450693804",
"telephone_number": "513-755-6600",
"fax_number": "513-755-3762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLSON",
"first_name": "SANDRA",
"middle_name": "E.",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-09",
"last_updated": "2011-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "5287",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2187155",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Chester, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.