Carlynn Renee Corley Pickens, MS OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT22187 Issued in FL

Practice address

1523 Flournoy Cir W Apt 10210
Clearwater, FL 33764-1434

Phone

(706) 340-3481

NPI assigned

Aug 16, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1366790685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1523 FLOURNOY CIR W APT 10210",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337641434",
            "telephone_number": "704-340-3481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1523 FLOURNOY CIR W APT 10210",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337641434",
            "telephone_number": "706-340-3481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKENS",
        "first_name": "CARLYNN",
        "middle_name": "RENEE CORLEY",
        "credential": "MS OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-16",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT003584",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "GA",
            "license": "OT003584",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "OT22187",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT22187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maisy Lee Phravoraxay, MSW
• Physical Health Care Advisors, PLLC
• Physicians Health Information
• Physiotherapy Associates Inc
• Michael Robert Piazza, MD
• Misty Pickett, RN
• Stacy Margaret Pickhardt, LMT, NMT
• Judith Lynn Pierce, APRN
• Melissa Pierce
• John Duane Pierson, M.D.

• Occupational Therapist in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; 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.