Individual provider Active NPI

Kevin Carter, OTR

  • Occupational Therapist
  • Atlanta, GA
National Provider Identifier
1609152834
Registry record updated Nov 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT003069 Issued in GA
Practice address
6160 Peachtree Dunwoody Rd NE
Suite B-90
Atlanta, GA 30328-4578
Phone
(770) 753-9195
Fax
(770) 753-9196
NPI assigned
Nov 2, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2011

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 OT003069 GA Primary

Addresses

Primary practice location

6160 Peachtree Dunwoody Rd NE
Suite B-90
Atlanta, GA 30328-4578

Mailing address

6160 Peachtree Dunwoody Rd NE
Suite B-90
Atlanta, GA 30328-4578
Phone (770) 753-9195

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
OT003069GAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Foundation Therapy Center - North Atlanta, LLC PastSince May 1, 2017 Accepting new patients
Foundation Therapy Center-Alpharetta, LLC Past Accepting new patients
Reid Clinic Sports Physical Therapy and Spine LLC PastSince Aug 25, 2024 Accepting new patients

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": "1320192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320192000000",
    "number": "1609152834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6160 PEACHTREE DUNWOODY RD NE",
            "address_2": "SUITE B-90",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284578",
            "telephone_number": "770-753-9195",
            "fax_number": "770-753-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6160 PEACHTREE DUNWOODY RD NE",
            "address_2": "SUITE B-90",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284578",
            "telephone_number": "770-753-9195",
            "fax_number": "770-753-9196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "KEVIN",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-02",
        "last_updated": "2011-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT003069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; 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.