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Deactivated NPI 1609128727 Deactivated / Inactive NPI Female Practitioner

Bethany Marie Carroll , OTR

Occupational Therapist • Rosemount, MN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Bethany Carroll has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 12, 2012
NPI Deactivation Date February 28, 2013
Total Practice Duration ~1 Years of Practice (2012 – 2013)

Professional Overview & Biography Verified Profile Summary

Bethany Carroll, OTR was a registered Occupational Therapist practicing in Rosemount, MN. Throughout an active medical career spanning 1 years, Bethany Carroll provided care at the practice location at 15576 COLUMBARY CT until profile deactivation on 2013-02-28.

Practice Location & Contact Primary Location

Practice Address

15576 Columbary Ct

Rosemount, MN 550684608

Telephone 9522173325

Specialty Benchmarks & Practice Insights

Comparative analytics for Occupational Therapist in Rosemount, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.8 Yrs
Regional Practice Density
5 Specialists

Practicing in Rosemount, MN (3413 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Occupational Therapist Primary Specialty

NUCC Taxonomy Code: 225X00000X

State License MN 104313

An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Nbcot
302015
Commercial Insurance / Payer ID License
104313 (MN)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Reactivated April 29, 2014

Record officially reactivated for active practice on April 29, 2014

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Updated Practice Location April 29, 2014

Registered at 15576 COLUMBARY CT, ROSEMOUNT, MN 550684608 (Tel: 9522173325)

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Updated Business Mailing Address April 29, 2014

Registered at 15576 COLUMBARY CT, ROSEMOUNT, MN 550684608 (Tel: 9522173325)

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Provider Name / Credentials Updated April 29, 2014

Recorded as BETHANY CARROLL, OTR

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 29, 2014

Occupational Therapist (License #104313 in MN)

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NPI Profile Deactivated February 28, 2013

Record deactivated on February 28, 2013

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Initial NPI Registration & Enumeration October 12, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1609128727
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 12, 2012
Last Update: April 29, 2014
Deactivation Date: February 28, 2013
Sole Proprietor: Yes

Mailing Address

15576 Columbary Ct

Rosemount, MN 550684608

Phone: 9522173325

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.