Tara C. Carlson, Otr, LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0002418 Issued in CO

Legal business name

TARA C. CARLSON, OTR, LLC

Practice address

2127 Grayden CT
Superior, CO 80027-8223

Phone

(303) 587-5526

NPI assigned

Aug 27, 2018

Last updated

Aug 27, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tara C Carlson, OTRNPI 1639680705

Title

Occupational Therapist, Owner

Phone

(303) 587-5526

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tara Carine Carlson, OTR

  • Occupational Therapist
  • Superior, CO
  • NPI 1639680705
  NPD (past) Authorized official

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535328000000",
    "number": "1649751819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2127 GRAYDEN CT",
            "city": "SUPERIOR",
            "state": "CO",
            "postal_code": "800278223",
            "telephone_number": "303-587-5526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2127 GRAYDEN CT",
            "city": "SUPERIOR",
            "state": "CO",
            "postal_code": "800278223",
            "telephone_number": "303-587-5526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARA C. CARLSON, OTR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-27",
        "last_updated": "2018-08-27",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST, OWNER",
        "authorized_official_telephone_number": "303-587-5526",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "0002418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Lynne Sturges, PHD
• Superior Medicine, PLLC
• Superior Psych Assessment Services LLC
• Superior Therapy Services, PLLC.
• Geniveve Tang, BCBA
• Tara Carlson
• Kimlien Than
• Corey Thompson, PTA
• Renee Marie Toner, PHARM.D
• Patricia Lynn Treinen, M.S. O.T.R.

• Occupational Therapist in Superior, CO
• Providers in Superior, CO by specialty
• Occupational Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; 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.