Andrea Carroll, MS, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1168 Issued in ND

Practice address

2700 8TH St NW
Minot, ND 58703-0652

Phone

(701) 839-4102

Fax

(701) 838-9603

NPI assigned

Feb 21, 2011

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

Credentials

Master of Science

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.

• First Choice Physical Therapy, Inc

  • Physical Therapist
  • Minot, ND
  • NPI 1013098797

  Occupational Therapist

  NPD (past)
• Dynamite Therapy, LLC

  • Home Health Agency
  • Scottsdale, AZ
  • NPI 1730388828
  NPD (past)

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

{
    "created_epoch": "1298246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434585600000",
    "number": "1124325527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 8TH ST NW",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587030652",
            "telephone_number": "701-839-4102",
            "fax_number": "701-838-9603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 8TH ST NW",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587030652",
            "telephone_number": "701-839-4102",
            "fax_number": "701-838-9603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "ANDREA",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-21",
        "last_updated": "2015-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ND",
            "license": "1168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tana N Carlson, LRD
• Tim Scott Carlson, R.PH.
• Chelsea Caron
• Nasim David Carr
• William Carrington
• Carmelia Renee Carroll, FNP-C
• Zuleymi Samarith Carroll
• Carson Mosser P.C.
• Isaac Carter
• Kelsey Kay Carter, MA, OTR/L

• All providers in Minot, ND
• Occupational Therapist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; 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.