Active NPI
Julianne Carlson
- Neurorehabilitation Occupational Therapist
- Chandler, AZ
National Provider Identifier
1356701841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurorehabilitation Occupational Therapist
- License
- 6489
- Practice address
- 2450 W Pecos Rd Apt 1058
Chandler, AZ 85224-4837 - Phone
- (708) 612-1800
- NPI assigned
- Feb 26, 2016
- Last updated
- Feb 26, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Neurorehabilitation Occupational Therapist | 225XN1300X | 6489 | AZ | Primary |
Addresses
Primary practice location
2450 W Pecos Rd Apt 1058
Chandler, AZ 85224-4837
Mailing address
2450 W Pecos Rd Apt 1058
Chandler, AZ 85224-4837
Phone (708) 612-1800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6489 | Other | AZ | OCCUPATIONAL THERAPY LICENSE |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456444800000",
"number": "1356701841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2450 W PECOS RD APT 1058",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852244837",
"telephone_number": "708-612-1800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2450 W PECOS RD APT 1058",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852244837",
"telephone_number": "708-612-1800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLSON",
"first_name": "JULIANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-26",
"last_updated": "2016-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "225XN1300X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Neurorehabilitation",
"state": "AZ",
"license": "6489",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OCCUPATIONAL THERAPY LICENSE",
"identifier": "6489",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.