Individual provider Active NPI

Carrie Ann Bartelme, MS, OTR-L

  • Pediatric Occupational Therapist
  • Brookhaven, GA
National Provider Identifier
1215990882
Registry record updated Jun 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT003448 Issued in GA
Practice address
4062 Peachtree Rd NE Ste a-123
Brookhaven, GA 30319-3021
Phone
(404) 409-7099
NPI assigned
Apr 6, 2006
Last updated
Jun 3, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT003448 GA
Pediatric Occupational Therapist 225XP0200X OT003448 GA Primary

Addresses

Primary practice location

4062 Peachtree Rd NE Ste a-123
Brookhaven, GA 30319-3021

Mailing address

4062 Peachtree Rd NE Ste a-123
Brookhaven, GA 30319-3021
Phone (404) 409-7099

Other identifiers 3

IdentifierTypeStateIssuer
7099600OtherGAAETNA
000947185CMedicaidGA
10036804OtherGAAMERIGROUP

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
OT003448GAMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464912000000",
    "number": "1215990882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4062 PEACHTREE RD NE STE A-123",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303193021",
            "telephone_number": "404-409-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4062 PEACHTREE RD NE STE A-123",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303193021",
            "telephone_number": "404-409-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTELME",
        "first_name": "CARRIE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MS, OTR-L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-06",
        "last_updated": "2016-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT003448",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "GA",
            "license": "OT003448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7099600",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000947185C",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10036804",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookhaven, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.