Individual provider Active NPI

Carly Anne Hartman, OTR/L

  • Physical Rehabilitation Occupational Therapist
  • Blue Ash, OH
National Provider Identifier
1487343414
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X
License
009278 Issued in OH
Practice address
11151 Kenwood Rd
Blue Ash, OH 45242-1817
Phone
(513) 245-0253
NPI assigned
May 4, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Rehabilitation Occupational Therapist 225XP0019X 009278 OH Primary

Addresses

Primary practice location

11151 Kenwood Rd
Blue Ash, OH 45242-1817

Mailing address

11151 Kenwood Rd
Blue Ash, OH 45242-1817
Phone (513) 245-0253

Other practice location 1

5701 Cheviot Rd
Cincinnati, OH 45247-7007
Phone (513) 256-8272

Other identifiers 1

IdentifierTypeStateIssuer
0049071MedicaidOH

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
009278OHMDPhysical Rehabilitation Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aim Therapy Solutions Physical Rehabilitation CurrentSince Nov 1, 2024 Accepting new patients

Locations

11151 Kenwood Rd
Ste B
Blue Ash, OH 45242
Phone (513) 256-8272

11151 Kenwood Rd
Blue Ash, OH 45242
Phone (513) 245-0253

5701 Cheviot Rd
Cincinnati, OH 45247
Phone (513) 245-0253

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": "1683158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1487343414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11151 KENWOOD RD",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452421817",
            "telephone_number": "513-245-0253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11151 KENWOOD RD",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452421817",
            "telephone_number": "513-245-0253"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5701 Cheviot Rd",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452477007",
            "country_code": "US",
            "telephone_number": "513-256-8272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "CARLY",
        "middle_name": "ANNE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-04",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "OH",
            "license": "009278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0049071",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Ash, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; 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.