1376343087 NPI number — CAITLYN MARIE CARPENTER OT

Table of content: CAITLYN MARIE CARPENTER OT (NPI 1376343087)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1376343087 NPI number — CAITLYN MARIE CARPENTER OT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CARPENTER
Provider First Name:
CAITLYN
Provider Middle Name:
MARIE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
OT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
CAPELLA
Provider Other First Name:
CAITLYN
Provider Other Middle Name:
MARIE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
OT
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1376343087
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/10/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5666 CLYMER RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
QUAKERTOWN
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
18951-3264
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
215-538-3488
Provider Business Mailing Address Fax Number:
215-538-8692

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5666 CLYMER RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
QUAKERTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18951-3264
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-538-3488
Provider Business Practice Location Address Fax Number:
215-538-8692
Provider Enumeration Date:
03/13/2025

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225X00000X , with the licence number:  OC011501 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)