CARLA A TIPPITT


Address: 1415 W Mound Rd, Decatur, IL 62526-1263
Phone: 2178242991

CARLA A TIPPITT (NPI# 1033749080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033749080
Entity Type Individual
Full Name CARLA A TIPPITT
Credential OTR/L
Practice Address 1415 W Mound Rd
Decatur
IL 62526-1263
Mailing Address 2114 Eastwood Dr
Taylorville
IL 62568-9083
Practice Telephone 2178242991
Mailing Telephone 2178242991
Enumeration Date 2020-01-17
Last Update Date 2020-01-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225XH1200X Occupational Therapist
Specialization: Hand
056003368 IL Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 1415 W MOUND RD
City DECATUR
State IL
Zip Code 62526-1263

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396381554 Justin Nelson Occupational Therapist 1415 W Mound Rd, Decatur, IL 62526-1263 2019-11-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083100804 Coalition Non-emergency Medical Transport (VAN) 2375 N Longwood Dr, Decatur, IL 62526 2018-07-04
1881116820 Bria N Howard Nurse's Aide 606 E Warren St. Apt 609, Decatur, IL 62526 2017-07-12
1437683679 Lutheran Child and Family Services Foster Care Agency 2826 N. Monroe Street, Decatur, IL 62526 2017-04-14
1083166326 Whitney Miller Pharmacist 225 East Ash Ave, Decatur, IL 62526 2016-11-03
1487053369 Central Illinois Health Associates, Inc Preferred Provider Organization 2300 N. Edward Street, Decatur, IL 62526 2014-08-18
1659787893 Stephanie Marie Kanitsch Obstetrics & Gynecology 544 W Pershing Rd Ste A, Decatur, IL 62526 2014-07-09
1497169973 Brian Hassinger Audiologist-Hearing Aid Fitter 2605 N Water St Ste 101, Decatur, IL 62526 2014-06-12
1891041570 Decatur 2016 LLC Dentist 141 Epershing Rd, Decatur, IL 62526 2012-07-31
1558639005 Larry Lee Christensen Pharmacist 225 Ash Ave, Decatur, IL 62526 2011-12-12
1174821540 Nathan Pyle Internal Medicine 2 Memorial Dr Ste 101, Decatur, IL 62526 2011-03-08
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Taxonomy Information

Taxonomy Code 225XH1200X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist
Specialization Hand

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891076485 Shirley Kay Drier Occupational Therapist 721 N 13th St, Decatur, IN 46733-1119 2011-09-08
1598794455 Wendy E. Salefski Occupational Therapist 304 W Hay St, Suite 215, Decatur, IL 62526-6328 2006-07-02
1801825765 Gretchen M Riser Occupational Therapist 304 W Hay St, Suite 215, Decatur, IL 62526-6328 2006-07-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1013551142 Brian P Karabin Occupational Therapist 901 Biesterfield Rd # 320, Elk Grove Vlg, IL 60007-3392 2019-11-01
1306403076 Michael Cernivec Occupational Therapist 1009 State Route 22, Fox River Grove, IL 60021-1998 2019-05-28
1689169971 Jill Hecht Occupational Therapist 901 Medical Park Dr Ste 100, Effingham, IL 62401-2191 2018-06-28
1508009762 Hand Therapy of Lasalle County, Inc. Occupational Therapist 511 S Ottawa St, Earlville, IL 60518-8005 2009-04-16
1972764249 Denise Renee Dumont-meyer Occupational Therapist 3739 W Elm St, Mchenry, IL 60050-4372 2008-06-19
1982886628 Kimberly Ann Beaupre Occupational Therapist 400 S Kennedy Dr Ste 100, Bradley, IL 60915-2685 2007-12-05
1487790994 Deborah Jenski Lotta Occupational Therapist 515 W Algonquin Road Suite 110, Arlingotn Heights, IL 60005 2007-01-30
1194896050 Arun Sharma Occupational Therapist 14466 Pinewood Dr, Orland Park, IL 60467-7112 2006-11-13
1790854693 Barbara Jacobs Raff Occupational Therapist 77 North Airlite St, Elgin, IL 60123 2006-11-06
1376637595 Arlene Marie Piper Occupational Therapist 2001 Midwest Road, Suite Ll44 Oakbrook Hand Rehabilitation, Oakbrook, IL 60523-1343 2006-10-03
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Competitor

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City DECATUR
Zip Code 62526

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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