Active NPI
Candice Rae Carney, COTA/L
- Occupational Therapy Assistant
- Tulsa, OK
National Provider Identifier
1730315516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 1050
- Practice address
- 4815 S Harvard Ave Ste 505
Tulsa, OK 74135-3069 - Phone
- (918) 749-4040
- NPI assigned
- Jun 6, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 1050 | OK | Primary |
Addresses
Primary practice location
4815 S Harvard Ave Ste 505
Tulsa, OK 74135-3069
Mailing address
5029 S Toledo Ave Apt 8N
Tulsa, OK 74135-3329
Phone (918) 277-6098
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": "1244246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244246400000",
"number": "1730315516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5029 S TOLEDO AVE APT 8N",
"city": "TULSA",
"state": "OK",
"postal_code": "741353329",
"telephone_number": "918-277-6098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4815 S HARVARD AVE STE 505",
"city": "TULSA",
"state": "OK",
"postal_code": "741353069",
"telephone_number": "918-749-4040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARNEY",
"first_name": "CANDICE",
"middle_name": "RAE",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-06",
"last_updated": "2009-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "OK",
"license": "1050",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.