Dajuan Wesley Carpenter, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

Practice address

5070 Lamme Rd
Moraine, OH 45439-3266

Phone

(937) 293-7703

NPI assigned

Apr 28, 2022

Last updated

Apr 28, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1651104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1679218283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 MICHIGAN AVE # B",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451771327",
            "telephone_number": "614-425-9495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5070 LAMME RD",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454393266",
            "telephone_number": "937-293-7703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "DAJUAN",
        "middle_name": "WESLEY",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-28",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jade Alexis Callum
• Shannon Jean Calton, MS, LPCC
• Heather Ann Campbell, PMHNP
• Cardinal Health 414, LLC
• Hannah Danielle Carico
• Angela M. Carruth, PSY.D.
• Jaime Lyn Carson
• Cynthia Carter, RPH
• Hayley R Carter, BA, LSW
• Hosea Carter, QMHS

• Occupational Therapy Assistant in Moraine, OH
• Providers in Moraine, OH by specialty
• Occupational Therapy Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; 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.