Carrie J Bloss, OTR

Key facts

NPI

1265543904

Entity type

Individual (NPI type 1)

Primary specialty

Occupational Therapist 225X00000X

License

31003527A (IN)

Practice address

1824 Dorchester CT
Goshen, IN 46526-6476

Phone

(574) 534-2548

Fax

(574) 534-3622

NPI assigned

Aug 31, 2006

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265543904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1824 DORCHESTER CT",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465266476",
            "telephone_number": "574-534-2548",
            "fax_number": "574-534-3622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1824 DORCHESTER CT",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465266476",
            "telephone_number": "574-534-2548",
            "fax_number": "574-534-3622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOSS",
        "first_name": "CARRIE",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31003527A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goshen, IN

• Catherine E Binger, CNM
• John D Birkey, L.C.S.W.
• Millie T. Birky, LCSW, MSW
• Stephanie Biscette, MSW
• Elizabeth Ruth Lapp Black, MSW, LSW
• Kathryn Bobson
• Alyssa Bogunia, RBT
• Jeffrey P Bolduan, M.D.
• Boling Vision Center, LLC
• Oluwakemi Gbemisola Bond

All providers in Goshen, IN · Occupational Therapist in Indiana