Individual provider Active NPI

Carolyn Reider Carlson, OTR, CHT

  • Hand Occupational Therapist
  • Sugar Land, TX
National Provider Identifier
1760637805
Registry record updated Nov 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
105165 Issued in TX
Practice address
4610 Sweetwater Blvd
Ste 120
Sugar Land, TX 77479-3152
Phone
(281) 242-5252
Fax
(281) 242-5256
NPI assigned
Nov 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 105165 TX Primary

Addresses

Primary practice location

4610 Sweetwater Blvd
Ste 120
Sugar Land, TX 77479-3152

Mailing address

4610 Sweetwater Blvd
Ste 120
Sugar Land, TX 77479-3152
Phone (281) 242-5252

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

Practice roles

OrganizationSpecialtyStatusNew patients
Webster Surgical Specialty Hospital, LLC Past Accepting new patients
Apex Physical Rehabilitation & Wellness, PLLC PastSince Apr 1, 2015 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1226880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226880000000",
    "number": "1760637805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4610 SWEETWATER BLVD",
            "address_2": "STE 120",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793152",
            "telephone_number": "281-242-5252",
            "fax_number": "281-242-5256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4610 SWEETWATER BLVD",
            "address_2": "STE 120",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793152",
            "telephone_number": "281-242-5252",
            "fax_number": "281-242-5256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "CAROLYN",
        "middle_name": "REIDER",
        "name_prefix": "Mrs.",
        "credential": "OTR, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-17",
        "last_updated": "2008-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "TX",
            "license": "105165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2008; 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.