Carisa Gayle Pursell, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2002014370 Issued in MO

Practice address

3140 Laurel Lane
Cape Girardeau, MO 63701-4108

Phone

(314) 276-4201

NPI assigned

Jul 13, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Carisa Gayle Sontag Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461628800000",
    "number": "1154520781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3140 LAUREL LANE",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637014108",
            "telephone_number": "314-276-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 LAUREL LANE",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637014108",
            "telephone_number": "314-276-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURSELL",
        "first_name": "CARISA",
        "middle_name": "GAYLE",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-13",
        "last_updated": "2016-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2002014370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARISA",
            "last_name": "SONTAG",
            "middle_name": "GAYLE",
            "prefix": "MISS",
            "credential": "OTR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Provider Plus LLC
• Carolyn Marie Pruemer
• Eric Jerome Pruemer, CRNA
• Donna Jo Pry, O.D.
• PS James Enterprises, Inc
• Greg Pursley, D.C.
• Jacob P Pyeatte Jr., M.D.
• Quality Life in Home Care
• Quality Life in Home Care
• Lynette M Quist-Callahan, C.R.N.A.

• Occupational Therapist in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; 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.