Individual provider Active NPI

Callie Morgan Carnes, OTR/L

  • Occupational Therapist
  • Saint George, SC
National Provider Identifier
1235610650
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5120 Issued in SC
Practice address
905 Dukes St
Saint George, SC 29477-2059
Phone
(843) 563-4602
NPI assigned
Aug 23, 2018
Last updated
Sep 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5120 SC Primary

Addresses

Primary practice location

905 Dukes St
Saint George, SC 29477-2059

Mailing address

1054 Anna Knapp Blvd Apt 18F
Mount Pleasant, SC 29464-3169
Phone (828) 455-2804

Other practice location 1

1200 Hospital Dr
Mount Pleasant, SC 29464-3251
Phone (843) 375-4000

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
5120SCMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1235610650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1054 ANNA KNAPP BLVD APT 18F",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643169",
            "telephone_number": "828-455-2804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 DUKES ST",
            "city": "SAINT GEORGE",
            "state": "SC",
            "postal_code": "294772059",
            "telephone_number": "843-563-4602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "SC",
            "postal_code": "294643251",
            "country_code": "US",
            "telephone_number": "843-375-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARNES",
        "first_name": "CALLIE",
        "middle_name": "MORGAN",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-23",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "5120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint George, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.