Active NPI
Britta Carlson
- Pediatric Occupational Therapist
- Marquette, MI
National Provider Identifier
1992585954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 5201009276
- Practice address
- 106 Coles Dr
Marquette, MI 49855-4010 - Phone
- (906) 629-1003
- Fax
- (906) 451-5540
- NPI assigned
- Oct 5, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 5201009276 | MI | Primary |
Addresses
Primary practice location
106 Coles Dr
Marquette, MI 49855-4010
Mailing address
106 Coles Dr
Marquette, MI 49855-4010
Phone (906) 629-1003
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 |
|---|---|---|---|
| 5201009276 | MI | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Med Pros Share | Multi-Specialty | Current | Accepting new patients |
Locations
106 Coles Dr
Marquette, MI 49855
Phone (906) 225-1071
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696464000000",
"number": "1992585954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 COLES DR",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498554010",
"telephone_number": "906-629-1003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 COLES DR",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498554010",
"telephone_number": "906-629-1003",
"fax_number": "906-451-5540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLSON",
"first_name": "BRITTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-10-05",
"last_updated": "2023-10-05",
"certification_date": "2023-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Pediatrics",
"state": "MI",
"license": "5201009276",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marquette, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.