Active NPI
Carlie Carter, OT
- Occupational Therapist
- Memphis, TN
National Provider Identifier
1194396283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 6947
- Practice address
- 5118 Park Ave Ste 209
Memphis, TN 38117-5722 - Phone
- (901) 495-2320
- NPI assigned
- Jul 8, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 6947 | TN | Primary |
Addresses
Primary practice location
5118 Park Ave Ste 209
Memphis, TN 38117-5722
Mailing address
5118 Park Ave Ste 216
Memphis, TN 38117-5722
Phone (901) 495-2320
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6947 | TN | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625702400000",
"number": "1194396283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5118 PARK AVE STE 216",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381175722",
"telephone_number": "901-495-2320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5118 PARK AVE STE 209",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381175722",
"telephone_number": "901-495-2320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "CARLIE",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-08",
"last_updated": "2021-07-08",
"certification_date": "2021-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TN",
"license": "6947",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.