Carol J Earl, COTA
Occupational Therapy Assistant in Portage, IN. Individual provider (NPI-1).
NPI number1609073873
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1609073873
- Entity type
- Individual (NPI-1)
- Name
- Carol J Earl
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 29, 2007
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224Z00000X | Occupational Therapy Assistant | 32000220A | IN | Yes |
Practice location
6040 Lute RdPortage, IN 46368-5008
Phone 219-763-6858 · Fax 219-763-4858
Mailing address
4408 Kingsdale DrValparaiso, IN 46383-1421
Phone 219-462-0755
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 15 Occupational Therapy Assistant providers in Portage · All 573 providers in Portage
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