Active NPI
Carol Patton
- Occupational Therapist
- Estero, FL
National Provider Identifier
1487962585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT5485
- Practice address
- 13601 Lesina CT
Estero, FL 33928-6377 - Phone
- (239) 980-7777
- NPI assigned
- Sep 23, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT5485 | FL | Primary |
| Social Worker | 104100000X | |||
| Developmental Therapist | 222Q00000X |
Addresses
Primary practice location
13601 Lesina CT
Estero, FL 33928-6377
Mailing address
13601 Lesina CT
Estero, FL 33928-6377
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002669100 | Medicaid | FL | |
| 002669000 | Medicaid | FL |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT5485 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441152000000",
"number": "1487962585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13601 LESINA CT",
"city": "ESTERO",
"state": "FL",
"postal_code": "339286377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13601 LESINA CT",
"city": "ESTERO",
"state": "FL",
"postal_code": "339286377",
"telephone_number": "239-980-7777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTON",
"first_name": "CAROL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-23",
"last_updated": "2015-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT5485",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002669100",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002669000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Estero, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.