Active NPI
Ellen Therese Carabin, OTR
- Occupational Therapist
- Medina, OH
National Provider Identifier
1508455668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT011158
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| OT011158 | OH | MD | Occupational Therapist |
Interoperability endpoints
- 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.