Carrie Jameson Antlitz, BA, MSOT, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

10148 Issued in CA

Practice address

2516 Goodwater Ave Ste B
Redding, CA 96002-1559

Phone

(530) 242-1511

NPI assigned

Dec 9, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Carrie Suzanne Jameson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

State licenses

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

{
    "created_epoch": "1355011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355011200000",
    "number": "1780929323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 N ROCKY POINT DR STE 650",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336075999",
            "telephone_number": "530-242-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2516 GOODWATER AVE STE B",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960021559",
            "telephone_number": "530-242-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTLITZ",
        "first_name": "CARRIE",
        "middle_name": "JAMESON",
        "name_prefix": "Mrs.",
        "credential": "BA, MSOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-09",
        "last_updated": "2012-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "10148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "JAMESON",
            "middle_name": "SUZANNE",
            "credential": "BA, MSOT, OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Occupational Therapist in Redding, CA
• Providers in Redding, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2012; 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.