Samuel Mark Carrington, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

072.0134172 Issued in VT

Practice address

22 Birch Hollow LN
Jackson, TN 38305-1886

Phone

(731) 549-6708

NPI assigned

Feb 25, 2021

Last updated

Mar 10, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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": "1614211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1467046938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 BIRCH HOLLOW LN",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383051886",
            "telephone_number": "731-549-6708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 BIRCH HOLLOW LN",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383051886",
            "telephone_number": "731-549-6708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRINGTON",
        "first_name": "SAMUEL",
        "middle_name": "MARK",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-25",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "6767",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VT",
            "license": "072.0134172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin D Carpenter
• Brenda Charlene Carr, FNP-C
• Emily E Carr, CRNA
• John B Carraher, M.D.
• Rebecca Morris Carrington, DPT
• Carmen Timbes Carroll, CPNP
• Leslie Carroll, FNP-C
• Loren Carroll, MD
• Cynthia Wilson Carruth, M.D.
• Larry W Carruth, M.D.

• Occupational Therapist in Jackson, TN
• Providers in Jackson, TN by specialty
• Occupational Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; 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.