Individual provider Active NPI

Kristin Carr, OTD

  • Occupational Therapist
  • Phoenix, AZ
National Provider Identifier
1881442267
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTH009570 Issued in AZ
Practice address
15215 S 48TH St Unit 145
Phoenix, AZ 85044-9142
Phone
(602) 358-8148
Fax
(602) 358-7994
NPI assigned
May 9, 2024
Last updated
May 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OTH009570 AZ Primary

Addresses

Primary practice location

15215 S 48TH St Unit 145
Phoenix, AZ 85044-9142

Mailing address

15215 S 48TH St Unit 145
Phoenix, AZ 85044-9142
Phone (602) 358-8148

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
OTH009570AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System Occupational Therapist CurrentSince Jun 28, 2024 Accepting new patients
Multicare Health System CurrentSince Jun 28, 2024 Accepting new patients
Multicare Health System Current Accepting new patients
Carr Speech & Language Therapy PastSince May 12, 2024 Accepting new patients

Locations

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

6704 Tacoma Mall Blvd
Ste 100
Tacoma, WA 98409
Phone (253) 475-4870

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1715212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1881442267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15215 S 48TH ST UNIT 145",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850449142",
            "telephone_number": "602-358-8148",
            "fax_number": "602-358-7994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15215 S 48TH ST UNIT 145",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850449142",
            "telephone_number": "602-358-8148",
            "fax_number": "602-358-7994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "KRISTIN",
        "name_prefix": "Dr.",
        "credential": "OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-09",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "OTH009570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; 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.