Individual provider Active NPI

Carol Elaine Head, OT

  • Occupational Therapist
  • Newark, DE
National Provider Identifier
1417987876
Registry record updated May 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
U1-0000531 Issued in DE
Practice address
280 E Main St
Suite 132
Newark, DE 19711-7333
Phone
(302) 709-0440
Fax
(302) 709-0443
NPI assigned
Jul 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X U1-0000531 DE Primary

Addresses

Primary practice location

280 E Main St
Suite 132
Newark, DE 19711-7333

Mailing address

280 E Main St
Suite 132
Newark, DE 19711-7333
Phone (302) 709-0440

Other identifiers 1

IdentifierTypeStateIssuer
0000920567MedicaidDE

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

State licenses

LicenseStateTypeSpecialty
U1-0000531DEMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Rehabilitation, Inc. Occupational Therapist PastSince Mar 15, 2011 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210550400000",
    "number": "1417987876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 E MAIN ST",
            "address_2": "SUITE 132",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197117333",
            "telephone_number": "302-709-0440",
            "fax_number": "302-709-0443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 E MAIN ST",
            "address_2": "SUITE 132",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197117333",
            "telephone_number": "302-709-0440",
            "fax_number": "302-709-0443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEAD",
        "first_name": "CAROL",
        "middle_name": "ELAINE",
        "name_prefix": "Mrs.",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2008-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "DE",
            "license": "U1-0000531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000920567",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.