Kristin Carlin

Individual provider Active NPI Occupational Therapist · Amesbury, MA

NPI 1154785103 · NPPES record last updated Apr 6, 2016

Key facts

NPI
1154785103
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
10052 (MA)
Practice address
110 Haverhill Rd
Suite 402
Amesbury, MA 01913-2123
Phone
(978) 388-4500
NPI assigned
Apr 6, 2016
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
10052MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Excella Homecare, Inc. Past Accepting new patients
Excella Associates LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 10052 MA Yes

Addresses

Primary practice location

110 Haverhill Rd
Suite 402
Amesbury, MA 01913-2123

Mailing address

110 Haverhill Rd
Suite 402
Amesbury, MA 01913-2123

Other providers in Amesbury, MA

All providers in Amesbury, MA · Occupational Therapist in Massachusetts

Sources for this page

Verify at the official NPI Registry.