Provider Demographics
NPI:1891555082
Name:CARTER, LINDSEY (OTD, OTR/L)
Entity Type:Individual
Prefix:DR
First Name:LINDSEY
Middle Name:
Last Name:CARTER
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4020 CRUTCHFIELD ST
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23225-4755
Mailing Address - Country:US
Mailing Address - Phone:609-578-8898
Mailing Address - Fax:
Practice Address - Street 1:4020 CRUTCHFIELD ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23225-4755
Practice Address - Country:US
Practice Address - Phone:609-578-8898
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-22
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119007662225X00000X, 225XM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XM0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistMental Health
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0119-007662OtherSTATE LICENSURE
397529OtherOT REGISTRATION