Active NPI
Kristy Carroll, COTA
- Occupational Therapist
- Oxford, AL
National Provider Identifier
1407397201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3638
- Practice address
- 1130 Hale St
Oxford, AL 36203-2444 - Phone
- (256) 831-0481
- NPI assigned
- Mar 13, 2017
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 3638 | AL | Primary |
Addresses
Primary practice location
1130 Hale St
Oxford, AL 36203-2444
Mailing address
6905 Mount Zion Rd
Waco, GA 30182-2619
Phone (913) 605-2615
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 |
|---|---|---|---|
| 3638 | AL | MD | Otolaryngology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489363200000",
"number": "1407397201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6905 MOUNT ZION RD",
"city": "WACO",
"state": "GA",
"postal_code": "301822619",
"telephone_number": "913-605-2615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 HALE ST",
"city": "OXFORD",
"state": "AL",
"postal_code": "362032444",
"telephone_number": "256-831-0481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARROLL",
"first_name": "KRISTY",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-13",
"last_updated": "2017-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AL",
"license": "3638",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oxford, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.