Carlye Crim, COTA
Individual provider Active NPI Occupational Therapy Assistant · Washington, IN
NPI 1427367234 · NPPES record last updated Sep 28, 2010
Key facts
- NPI
- 1427367234
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 32000988A (IN)
- Practice address
- 1764 Troy Rd
Washington, IN 47501-8210 - Phone
- (812) 254-2750
- NPI assigned
- Sep 28, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32000988A | IN | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Back in Motion Therapy, PC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 32000988A | IN | Yes |
Addresses
Primary practice location
1764 Troy Rd
Washington, IN 47501-8210
Mailing address
10799 Baxter Cemetery Rd
Shoals, IN 47581-7734
Phone (812) 709-2296
Other providers in Washington, IN
- Cheryl J Cornelius
- Merlin K Coulter
- Alexis Cox
- Elizabeth Cresgy
- Amber Crews
- Stephen L Cullen
- Cari Jo Cumberworth
- Clay Isaac Cummings
- Dahl Family Medicine, LLC
- David Nicholas Dahl
All providers in Washington, IN · Occupational Therapy Assistant in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 28, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.