Individual provider Active NPI

Zemelda D. Carr, OTR/L, MOT, CST

  • Physical Rehabilitation Occupational Therapist
  • Arlington, TX
National Provider Identifier
1790003531
Registry record updated Jul 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X
License
114202 Issued in TX
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

Updated by the provider on Jul 30, 2021

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

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
482228OtherTXPTAN
1790003531OtherTXNPI
005546033OtherTXMPIN
1114328416OtherTXNPI
114202OtherTXOCCUPATINAL 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

LicenseStateTypeSpecialty
114202TXMDContractor
016646TXMDHome Health Agency

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.