Caroline Linda Ammon-Platt, MPA, OT
Individual provider Active NPI Contractor · Elkridge, MD
NPI 1497942411 · NPPES record last updated Oct 3, 2007
Key facts
- NPI
- 1497942411
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- License
- 02777 (MD)
- Practice address
- 7916 Butterfield Dr
Elkridge, MD 21075-6461 - Phone
- (443) 745-2177
- Fax
- (410) 799-4561
- NPI assigned
- Oct 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MD, DC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250108002607 | MD | Practitioner - Occupational Therapist in Private Practice | 8628506300 | Reassigns benefits to 1 organization |
| I20250108003140 | DC | Practitioner - Occupational Therapist in Private Practice | 8628506300 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02777 | MD | MD | Contractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| At Home Rehab | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 02777 | MD | Yes |
Addresses
Primary practice location
7916 Butterfield Dr
Elkridge, MD 21075-6461
Mailing address
7916 Butterfield Dr
Elkridge, MD 21075-6461
Phone (443) 745-2177
Other names
- Caro Linda Ammon-Platt
Other providers in Elkridge, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.