NPIMap

Individual provider Active NPI

Carmen Alvarez McLain, OTR

  • Occupational Therapist
  • Carriere, MS
National Provider Identifier
1134465313
Registry record updated Apr 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTT.Z12485 Issued in LA
Practice address
12425 Preacher Powell Rd
Carriere, MS 39426-9243
Phone
(769) 926-1685
Fax
(225) 275-1201
NPI assigned
Dec 17, 2012
Last updated
Apr 16, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2015

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OTT.Z12485 LA Primary
Neurorehabilitation Occupational Therapist 225XN1300X OTT.Z12485 LA
Gerontology Occupational Therapist 225XG0600X OTT.Z12485 LA
Mental Health Occupational Therapist 225XM0800X OTT.Z12485 LA
Physical Rehabilitation Occupational Therapist 225XP0019X OTT.Z12485 LA
Environmental Modification Occupational Therapist 225XE0001X OTT.Z12485 LA
Low Vision Occupational Therapist 225XL0004X OTT.Z12485 LA

Addresses

Primary practice location

12425 Preacher Powell Rd
Carriere, MS 39426-9243

Mailing address

12425 Preacher Powell Rd
Carriere, MS 39426-9243
Phone (769) 926-1685

Other identifiers 3

IdentifierTypeStateIssuer
OT3021OtherMSMISSISSIPPI STATE DEPARTMENT OF HEALTH
004240OtherMDNATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY
OTTZ.12485OtherLALOUISIANA STATE BOARD OF MEDICAL EXAMINERS

Other names 1

  • Carmen Elisha Alvarez Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
OTT.Z12485LAMDLow Vision Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1355702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429142400000",
    "number": "1134465313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12425 PREACHER POWELL RD",
            "city": "CARRIERE",
            "state": "MS",
            "postal_code": "394269243",
            "telephone_number": "769-926-1685",
            "fax_number": "225-275-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12425 PREACHER POWELL RD",
            "city": "CARRIERE",
            "state": "MS",
            "postal_code": "394269243",
            "telephone_number": "769-926-1685",
            "fax_number": "225-275-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLAIN",
        "first_name": "CARMEN",
        "middle_name": "ALVAREZ",
        "name_prefix": "Ms.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-17",
        "last_updated": "2015-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": "OTT.Z12485",
            "primary": true
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "LA",
            "license": "OTT.Z12485",
            "primary": false
        },
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "LA",
            "license": "OTT.Z12485",
            "primary": false
        },
        {
            "code": "225XM0800X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Mental Health",
            "state": "LA",
            "license": "OTT.Z12485",
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "LA",
            "license": "OTT.Z12485",
            "primary": false
        },
        {
            "code": "225XE0001X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Environmental Modification",
            "state": "LA",
            "license": "OTT.Z12485",
            "primary": false
        },
        {
            "code": "225XL0004X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Low Vision",
            "state": "LA",
            "license": "OTT.Z12485",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSISSIPPI STATE DEPARTMENT OF HEALTH",
            "identifier": "OT3021",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY",
            "identifier": "004240",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOUISIANA STATE BOARD OF MEDICAL EXAMINERS",
            "identifier": "OTTZ.12485",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARMEN",
            "last_name": "ALVAREZ",
            "middle_name": "ELISHA",
            "credential": "OTR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Carriere, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.