Active NPI
Carrie Applegate, OTR
- Occupational Therapist
- Elkhart, IN
National Provider Identifier
1407571193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 1220 E Jackson Blvd
Elkhart, IN 46516-4419 - Phone
- (574) 333-9747
- Fax
- (574) 367-2369
- NPI assigned
- Oct 5, 2022
- Last updated
- Oct 5, 2022
- 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 | NU | Primary |
Addresses
Primary practice location
1220 E Jackson Blvd
Elkhart, IN 46516-4419
Mailing address
1220 E Jackson Blvd
Elkhart, IN 46516-4419
Phone (574) 333-9747
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | HelloNote |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1993
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
19120 Stone Ridge Dr
South Bend, IN 46637-2129
4409 Red Hawk CT
Columbus, IN 47203-1776
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senior Outpatient Services | Occupational Therapist | Current | Accepting new patients |
Organizations & group practices 2
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.
-
dba CORE Therapy and Wellness LLC
- Rehabilitation Clinic/Center
- Terre Haute, IN
- NPI 1225792534
-
- Occupational Therapist
- Elkhart, IN
- NPI 1750050977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664928000000",
"number": "1407571193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1220 E JACKSON BLVD",
"city": "ELKHART",
"state": "IN",
"postal_code": "465164419",
"telephone_number": "574-333-9747",
"fax_number": "574-367-2369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 E JACKSON BLVD",
"city": "ELKHART",
"state": "IN",
"postal_code": "465164419",
"telephone_number": "574-333-9747",
"fax_number": "574-367-2369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "APPLEGATE",
"first_name": "CARRIE",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-05",
"last_updated": "2022-10-05",
"certification_date": "2022-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "HelloNote",
"affiliation": "N",
"address_1": "1220 E Jackson Blvd",
"city": "Elkhart",
"state": "IN",
"country_code": "US",
"postal_code": "465164419",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Elkhart, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.