Carrie B. Booth, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

105061 Issued in MN

Practice address

1250 W Broadway Ave
Minneapolis, MN 55411-2533

Phone

(612) 668-0254

NPI assigned

Aug 31, 2006

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

Other names 1

• Carrie B Stolzenburg Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Special School District #1

  • Local Education Agency (LEA)
  • Minneapolis, MN
  • NPI 1619053378
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1164534707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4125 44TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554063538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 W BROADWAY AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554112533",
            "telephone_number": "612-668-0254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOTH",
        "first_name": "CARRIE",
        "middle_name": "B.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "105061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "STOLZENBURG",
            "middle_name": "B",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Thanunkorn Boonrod
• Timothy Ray Boonstra, RPH
• Anita Marie Boos, LADC
• Ayaan Yahye Boote
• Rahima Boote
• Victoria Rose Booth, MSW, LICSW
• Amanda Leigh Boozalis, MD
• Anushree Bora
• Christy M Boraas Alsleben, M.D.
• A Bruce Boraas, ND

• Occupational Therapist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; 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.