Ginger Lynn Carroll, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

103076 Issued in MN

Practice address

800 E 28TH St
Minneapolis, MN 55407-3723

Phone

(612) 863-8583

NPI assigned

Dec 9, 2008

Last updated

Dec 9, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ginger Edwards Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Innovations for Aging, LLC

  • Case Management Agency
  • Minneapolis, MN
  • NPI 1437656840
  NPD

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

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228780800000",
    "number": "1366687063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1886 JAMES AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551051717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E 28TH ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554073723",
            "telephone_number": "612-863-8583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "GINGER",
        "middle_name": "LYNN",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-09",
        "last_updated": "2008-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "103076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINGER",
            "last_name": "EDWARDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Claire Susannah Carrier, PA
• Angela Carrillo, RN
• Carol A Carroll-Maier, R.N.
• Amy Christine Carroll
• Brian Jeffrey Carroll, MD
• Javae Lashel Carroll, LICSW
• Joseph Thomas Carroll, MD
• Judith Tammy Carroll, FNP
• Kenyata Tyeshia Carroll, FNP, CNP
• Kris Carroll

• Occupational Therapist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.