Julie M Carpenter, O.T.
Individual provider Active NPI Occupational Therapist · Cortez, CO
NPI 1285630103 · NPPES record last updated Oct 15, 2015
Key facts
- NPI
- 1285630103
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 1284 (CO)
- Practice address
- 1280 N Mildred Rd
Ste 2
Cortez, CO 81321-2212 - Phone
- (970) 564-0311
- Fax
- (970) 564-0313
- NPI assigned
- Jun 24, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Johnson Physical Therapy and Rehab PC
Practice addresses (Care Compare)
1280 N Mildred
Suite 2
Cortez, CO 81321-2212
Phone (970) 564-0311
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101029000667 | CO | Practitioner - Occupational Therapist in Private Practice | 2961392766 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1284 | CO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johnson Physical Therapy and Rehab PC | Occupational Therapist | Current |
Accepting new patients |
Locations
1280 N Mildred Rd
Ste 2
Cortez, CO 81321
Phone (970) 564-0311
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1284 | CO | Yes |
Addresses
Primary practice location
1280 N Mildred Rd
Ste 2
Cortez, CO 81321-2212
Mailing address
1280 N Mildred Rd
Ste 2
Cortez, CO 81321-2212
Phone (970) 564-0311
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38274329 | Medicaid | CO |
Other providers in Cortez, CO
- Kelly A. C. Busby
- C&G Health Care Management Inc
- C&G Health Care Management Inc
- Kenneth Raymond Carlson
- Frank Richard Carman
- Lance Carpenter
- Beth A. Carter
- Kenneth Cason
- Kevin Thomas Cason
- Catholic Health Initiatives Colorado
All providers in Cortez, CO · Occupational Therapist in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.