Individual provider Active NPI

Carol Elise Garner-Houston, OTR/L

  • Pediatric Occupational Therapist
  • Destin, FL
National Provider Identifier
1932443397
Registry record updated Nov 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT 13046 Issued in FL
Practice address
151 Regions Way
3D
Destin, FL 32541-5106
Phone
(850) 220-4348
NPI assigned
Nov 23, 2012
Last updated
Nov 23, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X OT 13046 FL Primary

Addresses

Primary practice location

151 Regions Way
3D
Destin, FL 32541-5106

Mailing address

151 Regions Way
3D
Destin, FL 32541-5106
Phone (850) 200-4348

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

LicenseStateTypeSpecialty
OT 13046FLMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1353628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353628800000",
    "number": "1932443397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 REGIONS WAY",
            "address_2": "3D",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325415106",
            "telephone_number": "850-200-4348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 REGIONS WAY",
            "address_2": "3D",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325415106",
            "telephone_number": "850-220-4348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARNER-HOUSTON",
        "first_name": "CAROL",
        "middle_name": "ELISE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-23",
        "last_updated": "2012-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "OT 13046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Destin, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2012; 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.