Jaime Ann Carlson, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2006014300 Issued in MO

Practice address

20551 E Trinity PL
Blue Springs, MO 64015-9501

Phone

(913) 558-9978

NPI assigned

Feb 4, 2010

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 Jaime Ann Wisong Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1497087225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2329 SW RIVER SPRING RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640824088",
            "telephone_number": "816-554-6797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20551 E TRINITY PL",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640159501",
            "telephone_number": "913-558-9978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "JAIME",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-04",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2006014300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAIME",
            "last_name": "WISONG",
            "middle_name": "ANN",
            "prefix": "MISS",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Daniel Canamero Carrasco, DC
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• Carl H. Dahlquist D.D.S.,LLC
• Jayde Carlson
• Sarah Carollo, BCBA
• Carondelet Long Term Care Facilities, Inc.
• Carondelet Physician Services Inc
• Carondelet Physician Services Inc

• Occupational Therapist in Blue Springs, MO
• Providers in Blue Springs, MO by specialty
• Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.