Carolynn Elizabeth Graham, O.T.R.L.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201009735 Issued in MI

Practice address

348 Long Rapids PLZ
Alpena, MI 49707-1374

Phone

(989) 358-8086

NPI assigned

Mar 1, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Carolynn Elizabeth Miller Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1488326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488326400000",
    "number": "1437699121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6417 CHURCH ST",
            "city": "CASS CITY",
            "state": "MI",
            "postal_code": "487261115",
            "telephone_number": "989-657-1501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 LONG RAPIDS PLZ",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497071374",
            "telephone_number": "989-358-8086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "CAROLYNN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "O.T.R.L.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-01",
        "last_updated": "2017-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201009735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYNN",
            "last_name": "MILLER",
            "middle_name": "ELIZABETH",
            "prefix": "MISS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jorge Tirador Gonzalez, M.D.
• Elizabeth Gougeon
• Olivia Gougeon, RN
• Benjamin Gould, FNP
• Sophia Elizabeth Grabiel, OD
• Jennifer Renee Graham, LPC
• Todd James Graham, BA
• Grand Lake Health Center LLC
• Great Lakes Heart Center of Alpena PLC
• Green View Opco, LLC

• Occupational Therapist in Alpena, MI
• Providers in Alpena, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.

Verify at the official NPI Registry.