Individual provider Active NPI

Carrie Michelle Coleman, MSOT, OTR/L

  • Occupational Therapist
  • Kingsport, TN
National Provider Identifier
1518324136
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
3879 Issued in TN
Practice address
938 Morison Ave
Kingsport, TN 37660-2542
Phone
(423) 808-2951
Fax
(615) 250-6287
NPI assigned
Jan 27, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 0119006055 VA
Occupational Therapist 225X00000X 3879 TN Primary

Addresses

Primary practice location

938 Morison Ave
Kingsport, TN 37660-2542

Mailing address

938 Morison Ave
Kingsport, TN 37660-2542
Phone (423) 808-2951

Other names 1

  • Carrie Coleman Collier Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250411003075 TN Practitioner - Occupational Therapist in Private Practice 3476077330 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TN Therapy Outsource, LLCGroup PAC ID 2668725664, 13 clinicians

Practice addresses (Care Compare)

1296 Union University Dr
Suite G
Jackson, TN 38305-3714
Phone (865) 406-7675

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0119006055VAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
TN Therapy Outsource, LLC CurrentSince Mar 8, 2025 Accepting new patients
Beyond Limits Mobile Therapy Occupational Therapist Current Accepting new patients
Physical Therapy of Jackson PC. PastSince Nov 1, 2001 Accepting new patients

Locations

2782 N Highland Ave
Ste A
Jackson, TN 38305
Phone (731) 664-1172

1296 Union University Dr
Ste G
Jackson, TN 38305
Phone (865) 406-7675

849 Volunteer Dr
Ste B
Paris, TN 38242
Phone (731) 215-0919

Organizations & group practices 3

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": "1453852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1518324136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "938 MORISON AVE",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376602542",
            "telephone_number": "423-808-2951",
            "fax_number": "615-250-6287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "938 MORISON AVE",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376602542",
            "telephone_number": "423-808-2951",
            "fax_number": "615-250-6287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "CARRIE",
        "middle_name": "MICHELLE",
        "credential": "MSOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-27",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119006055",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "3879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "COLLIER",
            "middle_name": "COLEMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kingsport, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.