Carrie Elizabeth Costigan, OTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1999134938 Issued in MO

Practice address

4455 Duncan Ave
St Louis, MO 63110

Phone

(314) 658-3800

Fax

(314) 633-8419

NPI assigned

Apr 9, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Carrie Costigan Socolof Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207699200000",
    "number": "1881867091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11701 BORMAN DR",
            "address_2": "STE 280",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63146",
            "telephone_number": "314-983-9555",
            "fax_number": "314-983-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4455 DUNCAN AVE",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63110",
            "telephone_number": "314-658-3800",
            "fax_number": "314-633-8419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTIGAN",
        "first_name": "CARRIE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-09",
        "last_updated": "2008-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "1999134938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "SOCOLOF",
            "middle_name": "COSTIGAN",
            "prefix": "MS.",
            "credential": "OTRL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Costco Wholesale Corporation
• John B Costello, M.D.
• Monique Costello, LCSW
• Sherrie Ann Costello, RDH
• Jenny Coster, MD
• David J Costigan, M.D.
• Richard James Cote, MD
• Burnett Cothrine, RN
• Cottage Door Counseling
• Cottage Home Care St Louis LLC

• Occupational Therapist in St Louis, MO
• Providers in St Louis, MO by specialty
• Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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.