Active NPI
Todd A. Carter, OT
- Occupational Therapist
- Dickson, TN
National Provider Identifier
1295593382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2167
- Practice address
- 199 Henslee Dr
Dickson, TN 37055-2076 - Phone
- (615) 652-1082
- Fax
- (615) 823-4731
- NPI assigned
- Mar 12, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2167 | TN | Primary |
Addresses
Primary practice location
199 Henslee Dr
Dickson, TN 37055-2076
Mailing address
90 Howard Dr
Shelbyville, KY 40065-8138
Phone (502) 633-1007
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2167 | TN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710288000000",
"number": "1295593382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 HOWARD DR",
"city": "SHELBYVILLE",
"state": "KY",
"postal_code": "400658138",
"telephone_number": "502-633-1007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "199 HENSLEE DR",
"city": "DICKSON",
"state": "TN",
"postal_code": "370552076",
"telephone_number": "615-652-1082",
"fax_number": "615-823-4731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "TODD",
"middle_name": "A.",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-03-12",
"last_updated": "2024-03-13",
"certification_date": "2024-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TN",
"license": "2167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dickson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.