Individual provider Active NPI

Carrie Boward, OCCUPATIONAL THERAPI

  • Occupational Therapist
  • Hagerstown, MD
National Provider Identifier
1285719500
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
23364 Issued in FL
Practice address
11110 Medical Campus Rd
201
Hagerstown, MD 21742-6700
Phone
(301) 714-4025
Fax
(301) 714-4026
NPI assigned
Oct 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 05572 MD
Occupational Therapist 225X00000X 23364 FL Primary

Addresses

Primary practice location

11110 Medical Campus Rd
201
Hagerstown, MD 21742-6700

Mailing address

11110 Medical Campus Rd
201
Hagerstown, MD 21742-6700
Phone (301) 714-4025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200910000149 DC Practitioner - Occupational Therapist in Private Practice 0941628804 Reassigns benefits to 1 organization
I20250919002332 FL Practitioner - Occupational Therapist in Private Practice 0941628804 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ap Therapy LLCGroup PAC ID 9032552559, 56 clinicians

Practice addresses (Care Compare)

1297 US Hwy 27 N
Lake Placid, FL 33852-7907
Phone (800) 380-9153

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05572MDMDClinical Social Worker
23364FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ap Therapy LLC Occupational Therapist CurrentSince Oct 27, 2025 Accepting new patients
Ap Therapy LLC Occupational Therapist CurrentSince Oct 27, 2025 Accepting new patients
Rehabcare Group East, LLC Past Accepting new patients

Locations

1297 US Highway 27 N
Lake Placid, FL 33852
Phone (407) 276-5023

550 Wilmette Ave
Ormond Beach, FL 32174
Phone (386) 672-7113

240 Interchange Blvd
Ormond Beach, FL 32174
Phone (386) 672-8800

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1285719500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11110 MEDICAL CAMPUS RD",
            "address_2": "201",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217426700",
            "telephone_number": "301-714-4025",
            "fax_number": "301-714-4026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11110 MEDICAL CAMPUS RD",
            "address_2": "201",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217426700",
            "telephone_number": "301-714-4025",
            "fax_number": "301-714-4026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWARD",
        "first_name": "CARRIE",
        "credential": "OCCUPATIONAL THERAPI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "05572",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "23364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.