Individual provider Active NPI

Mechelle Carter-Lovell

  • Occupational Therapist
  • Freeport, NY
National Provider Identifier
1578887832
Registry record updated Mar 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
012737 Issued in NY
Practice address
29 Willow Ave
Freeport, NY 11520-2520
Phone
(516) 632-9588
NPI assigned
Mar 16, 2010
Last updated
Mar 16, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2010

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 012737 NY Primary

Addresses

Primary practice location

29 Willow Ave
Freeport, NY 11520-2520

Mailing address

29 Willow Ave
Freeport, NY 11520-2520
Phone (516) 632-9588

Other names 1

  • Mechelle Carter Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1268697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268697600000",
    "number": "1578887832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 WILLOW AVE",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115202520",
            "telephone_number": "516-632-9588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 WILLOW AVE",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115202520",
            "telephone_number": "516-632-9588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER-LOVELL",
        "first_name": "MECHELLE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-16",
        "last_updated": "2010-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "012737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MECHELLE",
            "last_name": "CARTER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Freeport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2010; 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.