Carrie Marie Stanage, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

6445 Issued in TN

Practice address

6142 Shallowford Rd Ste 104
Chattanooga, TN 37421-7216

Phone

(423) 463-0683

NPI assigned

Mar 14, 2018

Last updated

Nov 11, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Fun in Function LLC

  • Pediatric Occupational Therapist
  • Chattanooga, TN
  • NPI 1689208480
  NPD

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

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1225531304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6142 SHALLOWFORD RD STE 104",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374217216",
            "telephone_number": "423-463-0683",
            "fax_number": "423-250-1651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6142 SHALLOWFORD RD STE 104",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374217216",
            "telephone_number": "423-463-0683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANAGE",
        "first_name": "CARRIE",
        "middle_name": "MARIE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-14",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119-008802",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT.0005376",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "6445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaelee Stafford, MD
• Ralph W Stafford Jr., MD
• Markeisha Shana Stallion
• Pauline G Stamper, M.ED
• Jacqueline A Stamps, M.A.
• Cynthia Ann Stanaway, PTA
• Jacob Standefer, PHARMD
• Max Brady Standefer, DPH
• Standifer Gap Rd Healthcare LLC (Chattanooga Health and Rehab Center)
• John Brendle Standridge II, M.D.

• Occupational Therapist in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Occupational Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.

Verify at the official NPI Registry.