Individual provider Active NPI

Brittany Ralene Carrie, OTD, OTR/L

  • Occupational Therapist
  • Scottsdale, AZ
National Provider Identifier
1073129151
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTH-008255 Issued in AZ
Practice address
25615 N Ranch Gate Rd
Scottsdale, AZ 85255-2141
Phone
(480) 502-7726
NPI assigned
Sep 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X OTH-008255 AZ
Occupational Therapist 225X00000X OTH-008255 AZ Primary

Addresses

Primary practice location

25615 N Ranch Gate Rd
Scottsdale, AZ 85255-2141

Mailing address

2951 E Florian Ave
Mesa, AZ 85204-5527

Other identifiers 1

IdentifierTypeStateIssuer
OTH-00825MedicaidAZ

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

LicenseStateTypeSpecialty
OTH-008255AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sunshine Speech-Language Therapy Services, Inc. PastSince Feb 6, 2022 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": "1600819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1073129151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2951 E FLORIAN AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852045527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25615 N RANCH GATE RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852552141",
            "telephone_number": "480-502-7726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRIE",
        "first_name": "BRITTANY",
        "middle_name": "RALENE",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-23",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "AZ",
            "license": "OTH-008255",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "OTH-008255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OTH-00825",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.

Verify at the official NPI Registry.