Ernest Carpenter III, LOTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTT.Z12249 Issued in LA

Practice address

7607 Fern Ave Ste 704
Shreveport, LA 71105-5744

Phone

(318) 828-1450

NPI assigned

Apr 7, 2018

Last updated

Apr 7, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Function First Physical Therapy, LLCGroup PAC ID 2961763768, 10 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

80.62 of 100Reported as group

Quality

100

Improvement activities

40

Cost

35.42

Medicare enrollment (NPD)

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.

• Function First Physical Therapy, LLC

  • Geriatric Physical Therapist
  • Shreveport, LA
  • NPI 1114430071

  Occupational Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1523059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523059200000",
    "number": "1235636226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7607 FERN AVE STE 704",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055744",
            "telephone_number": "318-828-1450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7607 FERN AVE STE 704",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055744",
            "telephone_number": "318-828-1450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "ERNEST",
        "name_suffix": "III",
        "credential": "LOTR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-07",
        "last_updated": "2018-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": "OTT.Z12249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wesley D. Carlisle, MD, DMD
• Harry Carmack
• Carmichael's Cashway Pharmacy, Inc. (Carmichael's North)
• John B Carmody
• Andre' Jacob Carpenter, P.A.
• Kasey Jo Carpenter, LOTR
• Linda Russell Carpenter, RN
• Lindsay Kate Carpenter, LOTR
• Phillip D Carpenter, OT
• Stacy Carpenter, MS, LMT, BCCS

• Occupational Therapist in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Occupational Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.