Active NPI
Elizabeth Carpenter, OTR
- Occupational Therapist
- Bloomington, IN
National Provider Identifier
1881050276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 31006001A
- Practice address
- 637 S Walker St
Suite 3
Bloomington, IN 47403-2176 - Phone
- (812) 272-6586
- NPI assigned
- Jan 14, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 31006001A | IN | Primary |
Addresses
Primary practice location
637 S Walker St
Suite 3
Bloomington, IN 47403-2176
Mailing address
2200 W Sudbury Dr Apt J14
Bloomington, IN 47403-3792
Phone (812) 899-0244
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31006001A | IN | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452729600000",
"number": "1881050276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 W SUDBURY DR APT J14",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474033792",
"telephone_number": "812-899-0244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "637 S WALKER ST",
"address_2": "SUITE 3",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474032176",
"telephone_number": "812-272-6586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARPENTER",
"first_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-14",
"last_updated": "2016-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IN",
"license": "31006001A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.