Active NPI
Kasey Carpenter, MSOT, OTR/L
- Occupational Therapist
- Loudon, TN
National Provider Identifier
1063873404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5387
- Practice address
- 100 River Rd
Loudon, TN 37774-1042 - Phone
- (502) 633-1007
- NPI assigned
- Mar 13, 2016
- Last updated
- Jul 28, 2022
- 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 Therapist | 225X00000X | 5387 | TN | Primary |
Addresses
Primary practice location
100 River Rd
Loudon, TN 37774-1042
Mailing address
90 Howard Dr
Shelbyville, KY 40065-8138
Other practice location 1
2030 Chilhowee Medical Park
Maryville, TN 37804-5285
Phone (865) 982-3400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q026112 | Medicaid | TN |
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 |
|---|---|---|---|
| 5387 | TN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Little Tennessee Valley Educational Cooperative | Past | Accepting new patients | |
| Speech Pathology Services of East Tennessee LLC | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Local Education Agency (LEA)
- Loudon, TN
- NPI 1114256039
-
dba Radiant Comprehensive Therapy Services
- Rehabilitation Clinic/Center
- Maryville, TN
- NPI 1659466712
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658966400000",
"number": "1063873404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 HOWARD DR",
"city": "SHELBYVILLE",
"state": "KY",
"postal_code": "400658138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 RIVER RD",
"city": "LOUDON",
"state": "TN",
"postal_code": "377741042",
"telephone_number": "502-633-1007"
}
],
"practiceLocations": [
{
"address_1": "2030 Chilhowee Medical Park",
"address_purpose": "LOCATION",
"city": "Maryville",
"state": "TN",
"postal_code": "378045285",
"country_code": "US",
"telephone_number": "865-982-3400",
"fax_number": "865-238-2034",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARPENTER",
"first_name": "KASEY",
"name_prefix": "Mrs.",
"credential": "MSOT, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-13",
"last_updated": "2022-07-28",
"certification_date": "2022-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TN",
"license": "5387",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q026112",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Loudon, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.