Ashley Rene Carlson, MOT, OTR/L

Primary specialty

SpecialistTaxonomy code 174400000X

License

OC009615 Issued in PA

Practice address

20 Russell Blvd
Bradford, PA 16701-3247

Phone

(814) 262-2621

Fax

(814) 262-1066

NPI assigned

Jan 7, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Care for Children

  • Specialist
  • Bradford, PA
  • NPI 1386779221
  NPD (past)

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

{
    "created_epoch": "1357516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357516800000",
    "number": "1619214939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 RUSSELL BLVD",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167013247",
            "telephone_number": "814-362-1462",
            "fax_number": "814-362-1066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 RUSSELL BLVD",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167013247",
            "telephone_number": "814-262-2621",
            "fax_number": "814-262-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "ASHLEY",
        "middle_name": "RENE",
        "name_prefix": "Mrs.",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-07",
        "last_updated": "2013-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "OC009615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA PROVIDER NUMBER",
            "identifier": "1017154660001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brennan Fife Bushman, DC
• Jill Lorryn Campbell, SPEECH-LANGUAGE PATH
• Bryan A. Cannon, R.N.
• Care for Children
• Curtis G Carlisle, COTA
• Dan Casamento, O.D.
• Dongwuk Cha
• Colleen Chahal
• Donghui Chen, MD
• Children'S Center for Treatment and Education

• Specialist in Bradford, PA
• Providers in Bradford, PA by specialty
• Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; 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.