Active NPI
Nicole Carlin
- Occupational Therapist
- Carlisle, PA
National Provider Identifier
1982122768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC014860
- Practice address
- 1 Longsdorf Way
Carlisle, PA 17015-7623 - Phone
- (717) 245-9941
- NPI assigned
- Aug 31, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OC014860 | PA | Primary |
Addresses
Primary practice location
1 Longsdorf Way
Carlisle, PA 17015-7623
Mailing address
118 Ashview CT
Nazareth, PA 18064-8688
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OC014860 | Other | PA | OT LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| OC014860 | PA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504137600000",
"number": "1982122768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 ASHVIEW CT",
"city": "NAZARETH",
"state": "PA",
"postal_code": "180648688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 LONGSDORF WAY",
"city": "CARLISLE",
"state": "PA",
"postal_code": "170157623",
"telephone_number": "717-245-9941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLIN",
"first_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-31",
"last_updated": "2017-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC014860",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OT LICENSE",
"identifier": "OC014860",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Carlisle, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.