Carly Mayre Rogers, MA, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

1071700 Issued in CA

Practice address

1431 15TH St
Manhattan Beach, CA 90266-4077

Phone

(310) 318-7345

NPI assigned

Apr 11, 2010

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1270944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270944000000",
    "number": "1821314204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2532 HERMOSA AVE APT C",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902542515",
            "telephone_number": "310-251-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 15TH ST",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902664077",
            "telephone_number": "310-318-7345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "CARLY",
        "middle_name": "MAYRE",
        "credential": "MA, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-11",
        "last_updated": "2010-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "1071700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Ann Rockwood, LCSW
• Antony G Rodas, M.D.
• Clarissa Rodriguez
• Elizabeth Terese Rodriguez, PA-C
• Hector F Rodriguez, MD
• Aaron Madison Rosen, M.D.
• Bennet Ross Rosenthal, M.D.
• Malia Rouvi
• Linda Rowe, D.C.
• Ronald J Ruby, MD

• Pediatric Occupational Therapist in Manhattan Beach, CA
• Providers in Manhattan Beach, CA by specialty
• Pediatric Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2010; 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.