Individual ProviderErnest CarpenterOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address7607 Fern Ave Ste 704, Shreveport, LA 71105-5744(318) 828-1450PECOS EnrollmentBased on the most recent information from CMS, provider Ernest Carpenter does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1235636226Provider TypeIndividualFull NameCarpenter, ErnestCredentialLOTRGenderMaleSole ProprietorNoEnumeration Date4/7/2018Last Updated4/7/2018Contact InformationPractice LocationPractice Address7607 Fern Ave Ste 704, Shreveport, LA 71105-5744Phone(318) 828-1450FaxUnlisted FaxMailing LocationMailing Address7607 Fern Ave Ste 704, Shreveport, LA 71105-5744Phone(318) 828-1450FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225X00000XPrimaryDescriptionOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseOTT.Z12249Louisiana