Kylie Suzanne Carlson, COTA, ATC
NPI 1104183789ActiveIndividual· Occupational Therapy Assistant· Phoenix, AZ
Occupational Therapy Assistant (COTA, ATC) in Phoenix, Arizona, licensed in AZ, with an NPI issued in April 2012.
Overview
| NPI | 1104183789 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | COTA, ATC |
| Sole proprietor | No |
| NPI issued | Apr 19, 2012 |
| Last updated in NPPES | Sep 26, 2025 |
| Certified by provider | Sep 26, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapy Assistant Primary | 224Z00000X | 7308 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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