Roberta L Carrlson, OTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1241 Issued in ND

Practice address

2016 S Washington St
Grand Forks, ND 58201-6342

Phone

(701) 775-8934

Fax

(701) 757-4208

NPI assigned

Jul 15, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Anne Carlsen Center

  • Physical Therapist
  • Jamestown, ND
  • NPI 1598930109

  Occupational Therapist

  NPD (past)
• Anne Carlsen Center

  • Community/Behavioral Health Agency
  • Jamestown, ND
  • NPI 1659966877
  NPD (past)
• Eugene F Herman Scottish Rite Childhood Language Disorders Clinic

  • Speech-Language Pathologist
  • Billings, MT
  • NPI 1881722361

  Occupational Therapist

  NPD (past)
• Pediatric Therapy Clinic

  • Speech-Language Pathologist
  • Billings, MT
  • NPI 1629203054

  Occupational Therapist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1279152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413936000000",
    "number": "1104139484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2016 S WASHINGTON ST",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016342",
            "telephone_number": "701-775-8934",
            "fax_number": "701-757-4208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2016 S WASHINGTON ST",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016342",
            "telephone_number": "701-775-8934",
            "fax_number": "701-757-4208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRLSON",
        "first_name": "ROBERTA",
        "middle_name": "L",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-15",
        "last_updated": "2014-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ND",
            "license": "1241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanda Carlson, SLP
• Carol Torgerson Counseling
• Jenna Carpenter
• Sandra Diane Carr
• Carrie Serna PLLC
• Jana M Carroll, OT
• Katherine Marie Carson, NP
• Roberta Jean Carson, MSW, LICSW
• Denise T Carter, NP
• F. Mark Carter, MD

• Occupational Therapist in Grand Forks, ND
• Providers in Grand Forks, ND by specialty
• Occupational Therapist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; 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.