Christa Marie Carpenter

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

106132 Issued in MN

Practice address

1909 Wayzata Blvd
Wayzata, MN 55391-2047

Phone

(952) 473-1261

NPI assigned

Dec 23, 2019

Last updated

Dec 23, 2019By the provider in NPPES

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

Enrolled in MN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1577059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577059200000",
    "number": "1952940892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9184 W 126TH ST",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553781182",
            "telephone_number": "952-393-2846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 WAYZATA BLVD",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553912047",
            "telephone_number": "952-473-1261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "CHRISTA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-23",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "106132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caretap Ut
• Brooke Carlson
• Jolene Margaret Carlson, LN
• Tara Carlson, D.C,
• Katherine Ann Carosella, PHD
• Julia May Carpenter, MSW
• Kara Carper
• Robert Collins Cavender Jr., MD
• CGPS, Inc (Afterimage)
• Emily Parker Chapman, MD

• Occupational Therapist in Wayzata, MN
• Providers in Wayzata, MN by specialty
• Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.