MEDICARE: ZEMELDA D. CARR OTR/L, MOT, CST

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171W00000X	Contractor	114202	TX
2	171WH0202X	Home Modifications Contractor		TX
3	225X00000X	Occupational Therapist	114202	TX
4	225XH1200X	Hand Occupational Therapist	114202	TX
5	225XL0004X	Low Vision Occupational Therapist	114202	TX
6	225XM0800X	Mental Health Occupational Therapist	114202	TX
7	225XN1300X	Neurorehabilitation Occupational Therapist	114202	TX
8	225XR0403X	Driving and Community Mobility Occupational Therapist	114202	TX
9	251E00000X	Home Health Agency	016646	TX
10	253Z00000X	In Home Supportive Care Agency		TX
11	343900000X	Non-emergency Medical Transport (VAN)		TX
12	225XP0019X	Physical Rehabilitation Occupational Therapist	114202	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	482228	OTHER	TX	PTAN
2	1790003531	OTHER	TX	NPI
3	005546033	OTHER	TX	MPIN
4	1114328416	OTHER	TX	NPI
5	114202	OTHER	TX	OCCUPATINAL THERAPIST

General Provider Information

NPI Number	:	1790003531
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZEMELDA D. CARR OTR/L, MOT, CST

Provider Business Mailing Address
First Line	:	2001 SE GREEN OAKS BLVD STE 130
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76018-0952
Country	:	US
Telephone Number	:	817-473-1312
Fax Number	:	844-812-4427

Provider Business Practice Location Address
First Line	:	2001 SE GREEN OAKS BLVD STE 130
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76018-0952
Country	:	US
Telephone Number	:	817-473-1312
Fax Number	:	866-990-2813

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2010
Last Update Date	:	07/30/2021

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