Provider Demographics
NPI: | 1790003531 |
---|---|
Name: | CARR, ZEMELDA D (OTR/L, MOT, CST) |
Entity Type: | Individual |
Prefix: | |
First Name: | ZEMELDA |
Middle Name: | D |
Last Name: | CARR |
Suffix: | |
Gender: | F |
Credentials: | OTR/L, MOT, CST |
Other - Prefix: | |
Other - First Name: | |
Other - Middle Name: | |
Other - Last Name: | |
Other - Suffix: | |
Other - Last Name Type: | |
Other - Credentials: | |
Mailing Address - Street 1: | 2001 SE GREEN OAKS BLVD STE 130 |
Mailing Address - Street 2: | |
Mailing Address - City: | ARLINGTON |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 76018-0952 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 817-473-1312 |
Mailing Address - Fax: | 844-812-4427 |
Practice Address - Street 1: | 2001 SE GREEN OAKS BLVD STE 130 |
Practice Address - Street 2: | |
Practice Address - City: | ARLINGTON |
Practice Address - State: | TX |
Practice Address - Zip Code: | 76018-0952 |
Practice Address - Country: | US |
Practice Address - Phone: | 817-473-1312 |
Practice Address - Fax: | 866-990-2813 |
Is Sole Proprietor?: | Yes |
Enumeration Date: | 2010-05-04 |
Last Update Date: | 2021-07-30 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
TX | 114202 | 171W00000X, 225X00000X, 225XH1200X, 225XL0004X, 225XM0800X, 225XN1300X, 225XR0403X, 225XP0019X, 171W00000X |
TX | 171WH0202X, 253Z00000X, 343900000X | |
TX | 016646 | 251E00000X, 251C00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 171W00000X | Other Service Providers | Contractor | ||
No | 171WH0202X | Other Service Providers | Contractor | Home Modifications | Group - Single Specialty |
No | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | ||
No | 225XH1200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Hand | |
No | 225XL0004X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Low Vision | |
No | 225XM0800X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Mental Health | |
No | 225XN1300X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Neurorehabilitation | |
No | 225XR0403X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Driving and Community Mobility | |
No | 251E00000X | Agencies | Home Health | ||
No | 253Z00000X | Agencies | In Home Supportive Care | ||
No | 343900000X | Transportation Services | Non-emergency Medical Transport (VAN) | ||
Yes | 225XP0019X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Physical Rehabilitation | |
No | 251C00000X | Agencies | Day Training, Developmentally Disabled Services |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
TX | 482228 | Other | PTAN |
TX | 1790003531 | Other | NPI |
TX | 005546033 | Other | MPIN |
TX | 1114328416 | Other | NPI |
TX | 114202 | Other | OCCUPATINAL THERAPIST |