Carly Tenges Rusek-Peterson, OTD, OTR/L, ATP

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

OTH-008394 Issued in AZ

Practice address

5182 W Wood Owl Dr
Tucson, AZ 85742-5107

Phone

(515) 867-0790

NPI assigned

Jun 24, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1740024868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5182 W WOOD OWL DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857425107",
            "telephone_number": "515-867-0790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5182 W WOOD OWL DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857425107",
            "telephone_number": "515-867-0790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSEK-PETERSON",
        "first_name": "CARLY",
        "middle_name": "TENGES",
        "credential": "OTD, OTR/L, ATP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "AZ",
            "license": "OTH-008394",
            "primary": true
        },
        {
            "code": "225CA2400X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor, Assistive Technology Practitioner",
            "state": "AZ",
            "license": "96511",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lottie Rupp, B.S., RRT
• Rural Metro Corporation (American Medical Response; AMR)
• Rural Metro Corporation (American Medical Response; AMR)
• Jonathan Rurka, LMT
• Dianne W Ruscher, EDS
• Demaretta Sickels Rush, MD
• Maureen A. Rush, FNP-BC
• Savannah Rush
• Spencer Cohen Rushton, DO
• Amber Rusk

• Physical Rehabilitation Occupational Therapist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Physical Rehabilitation Occupational Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.