IndividualActive
Jamie Carter, OTR
NPI 1679701742 · Occupational Therapist · Random Lake, WI
Provider details
- NPI number
- 1679701742
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR
- Sex
- Female
- Sole proprietor
- No
- License
- 1136026 (WI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
402 First Street
Random Lake, WI 53075
Phone: (920) 994-9700
Street-level locationGet directions
Mailing address
4872 Woodhaven Dr
West Bend, WI 53095-9155
Registry dates
- Enumerated
- 2009-06-29
- Last updated
- 2009-06-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.