Kristi Lynee Carter, OT

Individual provider Active NPI Occupational Therapist · Macclenny, FL

NPI 1225282247 · NPPES record last updated Jan 9, 2009

Key facts

NPI
1225282247
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
OT4272 (FL)
Practice address
534 S 5TH St
Macclenny, FL 32063-2602
Phone
(904) 421-2119
NPI assigned
Nov 5, 2008
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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

Practice roles

OrganizationSpecialtyStatusNew patients
John Goetze Physical Therapy, Inc Past
since May 13, 2002
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT4272 FL Yes

Addresses

Primary practice location

534 S 5TH St
Macclenny, FL 32063-2602

Mailing address

PO Box 8847
Fleming Island, FL 32006-0019

Other providers in Macclenny, FL

All providers in Macclenny, FL · Occupational Therapist in Florida

Sources for this page

Verify at the official NPI Registry.