Active NPI
Cynthia Jean Carr, DPT
- Physical Therapist
- South Charleston, WV
National Provider Identifier
1003162918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT002924
- Practice address
- 1000 Lincoln Dr
South Charleston, WV 25309-2304 - Phone
- (304) 768-4400
- NPI assigned
- Jul 29, 2012
- Last updated
- Jul 29, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT002924 | WV | Primary |
Addresses
Primary practice location
1000 Lincoln Dr
South Charleston, WV 25309-2304
Mailing address
PO Box 198
Comfort, WV 25049-0198
Phone (304) 807-1839
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT002924 | WV | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343520000000",
"number": "1003162918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 198",
"city": "COMFORT",
"state": "WV",
"postal_code": "250490198",
"telephone_number": "304-807-1839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 LINCOLN DR",
"city": "SOUTH CHARLESTON",
"state": "WV",
"postal_code": "253092304",
"telephone_number": "304-768-4400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARR",
"first_name": "CYNTHIA",
"middle_name": "JEAN",
"name_prefix": "Miss",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-29",
"last_updated": "2012-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WV",
"license": "PT002924",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.