Individual provider Active NPI

Carolyn A. Chenowith, OTR/L

  • Specialist
  • Polk City, FL
National Provider Identifier
1508887159
Registry record updated Apr 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
6319 Issued in FL
Practice address
7053 Tall Pine Rd
Polk City, FL 33868
Phone
(863) 712-1452
NPI assigned
Jul 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 6319 FL Primary

Addresses

Primary practice location

7053 Tall Pine Rd
Polk City, FL 33868

Mailing address

7053 Tall Pine Rd
Polk City, FL 33868-9355
Phone (863) 712-1452

Other practice location 1

330 S 10th St
Haines City, FL 33844-5602
Phone (863) 421-0556

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
6319FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Rehab & Wellness Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556323200000",
    "number": "1508887159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7053 TALL PINE RD",
            "city": "POLK CITY",
            "state": "FL",
            "postal_code": "338689355",
            "telephone_number": "863-712-1452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7053 TALL PINE RD",
            "city": "POLK CITY",
            "state": "FL",
            "postal_code": "33868",
            "telephone_number": "863-712-1452"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 S 10th St",
            "address_purpose": "LOCATION",
            "city": "Haines City",
            "state": "FL",
            "postal_code": "338445602",
            "country_code": "US",
            "telephone_number": "863-421-0556",
            "fax_number": "863-421-0467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHENOWITH",
        "first_name": "CAROLYN",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2019-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "6319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Polk City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2019; 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.