Carmen Alvarez McLain, OTR
Individual provider Active NPI Occupational Therapist · Carriere, MS
NPI 1134465313 · NPPES record last updated Apr 16, 2015
Key facts
- NPI
- 1134465313
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OTT.Z12485 (LA)
- Practice address
- 12425 Preacher Powell Rd
Carriere, MS 39426-9243 - Phone
- (769) 926-1685
- Fax
- (225) 275-1201
- NPI assigned
- Dec 17, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTT.Z12485 | LA | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OTT.Z12485 | LA | Yes |
| Environmental Modification Occupational Therapist | 225XE0001X | OTT.Z12485 | LA | |
| Gerontology Occupational Therapist | 225XG0600X | OTT.Z12485 | LA | |
| Low Vision Occupational Therapist | 225XL0004X | OTT.Z12485 | LA | |
| Mental Health Occupational Therapist | 225XM0800X | OTT.Z12485 | LA | |
| Neurorehabilitation Occupational Therapist | 225XN1300X | OTT.Z12485 | LA | |
| Physical Rehabilitation Occupational Therapist | 225XP0019X | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OT3021 | Other | MS | MISSISSIPPI STATE DEPARTMENT OF HEALTH |
| OTTZ.12485 | Other | LA | LOUISIANA STATE BOARD OF MEDICAL EXAMINERS |
| 004240 | Other | MD | NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY |
Other names
- Carmen Elisha Alvarez
Other providers in Carriere, MS
- Remco Leidelmeijer
- Promise Lemoine
- Lighthouse Healthcare Nanci W Parish NP, LLC
- Melissa Loewen
- Gavin Casey Mayo
- Christina L Meador
- Milestone Therapy, LLC
- Mississippi State Department of Health
- Debbie L Moore
- New Beginnings
All providers in Carriere, MS · Occupational Therapist in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.