Amber Cheree Ellis-Carpenter, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT2256 Issued in MS

Practice address

1890 Goodman Rd E Ste 201
Southaven, MS 38671-9504

Phone

(901) 830-9899

NPI assigned

Jul 11, 2017

Sex

Female

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

Enrolled in TN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Clinton, TN
  • NPI 1376073262

  Multi-Specialty

  Medicare reassignment NPD
• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Independence, MO
  • NPI 1871072462

  Multi-Specialty

  NPD
• Rehab Technology, LLC

  • Physical Therapist
  • Southaven, MS
  • NPI 1568815744

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1499731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1770005795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 GOODMAN RD E STE 201",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386719504",
            "telephone_number": "901-830-9899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 GOODMAN RD E STE 201",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386719504",
            "telephone_number": "901-830-9899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS-CARPENTER",
        "first_name": "AMBER",
        "middle_name": "CHEREE",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-11",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "MS",
            "license": "OT2256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christy Le Anne Egbert, FNP
• Vania Chinwe Ejiofor, MD
• Samir Eldahan, DDS
• Prince Eleeh
• Elite Medical Southeast, LLC
• April Michelle Ellis, DPT
• Mattison Lanier Ellis, LPC
• Alba Laura Emerson, FNP
• Emmanuel Medical Transports and Services (emmanuel ems)
• Emotionally Available Counseling

• Occupational Therapist in Southaven, MS
• Providers in Southaven, MS by specialty
• Occupational Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.