Active NPI
Zemelda D. Carr, OTR/L, MOT, CST
- Physical Rehabilitation Occupational Therapist
- Arlington, TX
National Provider Identifier
1790003531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Rehabilitation Occupational Therapist
- License
- 114202
- Practice address
- 2001 SE Green Oaks Blvd Ste 130
Arlington, TX 76018-0952 - Phone
- (817) 473-1312
- Fax
- (866) 990-2813
- NPI assigned
- May 4, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 114202 | TX | |
| Home Modifications Contractor | 171WH0202X | TX | ||
| Occupational Therapist | 225X00000X | 114202 | TX | |
| Hand Occupational Therapist | 225XH1200X | 114202 | TX | |
| Low Vision Occupational Therapist | 225XL0004X | 114202 | TX | |
| Mental Health Occupational Therapist | 225XM0800X | 114202 | TX | |
| Neurorehabilitation Occupational Therapist | 225XN1300X | 114202 | TX | |
| Driving and Community Mobility Occupational Therapist | 225XR0403X | 114202 | TX | |
| Home Health Agency | 251E00000X | 016646 | TX | |
| In Home Supportive Care Agency | 253Z00000X | TX | ||
| Non-emergency Medical Transport (VAN) | 343900000X | TX | ||
| Physical Rehabilitation Occupational Therapist | 225XP0019X | 114202 | TX | Primary |
Addresses
Primary practice location
2001 SE Green Oaks Blvd Ste 130
Arlington, TX 76018-0952
Mailing address
2001 SE Green Oaks Blvd Ste 130
Arlington, TX 76018-0952
Phone (817) 473-1312
Other practice location 1
1759 Broad Park Circle S.
Suite 113
Mansfield, TX 76063-4234
Phone (817) 473-1312
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 482228 | Other | TX | PTAN |
| 1790003531 | Other | TX | NPI |
| 005546033 | Other | TX | MPIN |
| 1114328416 | Other | TX | NPI |
| 114202 | Other | TX | OCCUPATINAL THERAPIST |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114202 | TX | MD | Contractor |
| 016646 | TX | MD | Home Health Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Destination Life LLC | Past | Accepting new patients | |
| Destination Life LLC-S | Occupational Therapist | Past | 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.
-
dba Destination Therapy
- Durable Medical Equipment & Medical Supplies
- Arlington, TX
- NPI 1588287163
-
dba SaJourney
- Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
- Ellisville, MS
- NPI 1023625894
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627603200000",
"number": "1790003531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 SE GREEN OAKS BLVD STE 130",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760180952",
"telephone_number": "817-473-1312",
"fax_number": "844-812-4427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 SE GREEN OAKS BLVD STE 130",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760180952",
"telephone_number": "817-473-1312",
"fax_number": "866-990-2813"
}
],
"practiceLocations": [
{
"address_1": "1759 Broad Park Circle S.",
"address_2": "Suite 113",
"address_purpose": "LOCATION",
"city": "Mansfield",
"state": "TX",
"postal_code": "760634234",
"country_code": "US",
"telephone_number": "817-473-1312",
"fax_number": "844-812-4427",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARR",
"first_name": "ZEMELDA",
"middle_name": "D.",
"credential": "OTR/L, MOT, CST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-04",
"last_updated": "2021-07-30",
"certification_date": "2021-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "TX",
"license": "114202",
"primary": false
},
{
"code": "171WH0202X",
"taxonomy_group": "",
"desc": "Contractor, Home Modifications",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "114202",
"primary": false
},
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "TX",
"license": "114202",
"primary": false
},
{
"code": "225XL0004X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Low Vision",
"state": "TX",
"license": "114202",
"primary": false
},
{
"code": "225XM0800X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Mental Health",
"state": "TX",
"license": "114202",
"primary": false
},
{
"code": "225XN1300X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Neurorehabilitation",
"state": "TX",
"license": "114202",
"primary": false
},
{
"code": "225XR0403X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Driving and Community Mobility",
"state": "TX",
"license": "114202",
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "016646",
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "TX",
"license": "114202",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "482228",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1790003531",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MPIN",
"identifier": "005546033",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1114328416",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OCCUPATINAL THERAPIST",
"identifier": "114202",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.