Individual provider Active NPI

Tiffany Jackson Carpenter, O.T.R.

  • Occupational Therapist
  • San Angelo, TX
National Provider Identifier
1093766545
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
105626 Issued in TX
Practice address
3126 Appaloosa Cir
San Angelo, TX 76901
Phone
(325) 944-4399
Fax
(325) 944-4556
NPI assigned
May 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 105626 TX Primary

Addresses

Primary practice location

3126 Appaloosa Cir
San Angelo, TX 76901

Mailing address

6250 Green Oaks Dr
Christoval, TX 76935-3381
Phone (325) 896-7554

Other identifiers 1

IdentifierTypeStateIssuer
8T0538OtherTXBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100917000210 TX Practitioner - Occupational Therapist in Private Practice 6204951924 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brett Carpenter PT PLLCGroup PAC ID 0143258038, 2 clinicians

Practice addresses (Care Compare)

3126 Appaloosa Cir
San Angelo, TX 76901-5225
Phone (325) 944-4399

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
105626TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Brett Carpenter PT, PLLC Occupational Therapist CurrentSince May 1, 2003 Accepting new patients

Locations

3126 Appaloosa Cir
San Angelo, TX 76901
Phone (325) 944-4399

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1093766545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6250 GREEN OAKS DR",
            "city": "CHRISTOVAL",
            "state": "TX",
            "postal_code": "769353381",
            "telephone_number": "325-896-7554",
            "fax_number": "325-944-4556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3126 APPALOOSA CIR",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "76901",
            "telephone_number": "325-944-4399",
            "fax_number": "325-944-4556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "TIFFANY",
        "middle_name": "JACKSON",
        "credential": "O.T.R.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "105626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8T0538",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Angelo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.