Individual provider Active NPI

Ellen Therese Carabin, OTR

  • Occupational Therapist
  • Medina, OH
National Provider Identifier
1508455668
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT011158 Issued in OH
Practice address
806 E Washington St
Medina, OH 44256-2128
Phone
(330) 723-5412
NPI assigned
Jan 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT011158 OH Primary

Addresses

Primary practice location

806 E Washington St
Medina, OH 44256-2128

Mailing address

5180 Glenmoore Way
Medina, OH 44256-6838
Phone (330) 635-8235

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

LicenseStateTypeSpecialty
OT011158OHMDOccupational Therapist

Interoperability endpoints

  • Direct secure messaging: ecarabin39079@ehrdirect.uhhospitals.org

NPI Registry JSON

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1508455668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5180 GLENMOORE WAY",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442566838",
            "telephone_number": "330-635-8235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 E WASHINGTON ST",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442562128",
            "telephone_number": "330-723-5412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARABIN",
        "first_name": "ELLEN",
        "middle_name": "THERESE",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-13",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT011158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.