Carolyn Corbett Phoenix

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

09102 Issued in MD

Practice address

12 Magnolia St
Easton, MD 21601-3657

Phone

(410) 822-0330

NPI assigned

Sep 29, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Talbot County Public Schools

  • Counselor
  • Easton, MD
  • NPI 1013052711
  NPD (past)
• Talbot County Public Schools Infant & Toddler Program

  • Counselor
  • Easton, MD
  • NPI 1104961838
  NPD (past)

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

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1902413446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6912 MAIN ST",
            "city": "QUEENSTOWN",
            "state": "MD",
            "postal_code": "216581627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 MAGNOLIA ST",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013657",
            "telephone_number": "410-822-0330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1336 Belmont Ave # 502",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "MD",
            "postal_code": "218044500",
            "country_code": "US",
            "telephone_number": "289-441-0546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHOENIX",
        "first_name": "CAROLYN",
        "middle_name": "CORBETT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-29",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "09102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katharine Lloyd Parsons Petzold, LCSW-C
• Meredith Pfister
• Christine A Phillips, MD
• Irving Mace Phillips Jr., DDS
• Samuel Thomas Phillips, DDS
• Pramod Phuyal, MD
• Pratibha Phuyal, MD
• Paula Pierce, CNM
• Jennifer Donahue Pierson, OT/L
• Jennifer Ashley Pinder, LMSW

• Occupational Therapist in Easton, MD
• Providers in Easton, MD by specialty
• Occupational Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.