Gary S Carlson, DPT,MS,SCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5856 Issued in TN

Practice address

2125 Northpoint Blvd
Hixson, TN 37343-4072

Phone

(423) 875-3376

NPI assigned

Sep 26, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456444800000",
    "number": "1013018217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 NORTHPOINT BLVD",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373434072",
            "telephone_number": "423-875-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "GARY",
        "middle_name": "S",
        "credential": "DPT,MS,SCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2016-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "5856",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "6325",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brett Aaron Caminez, D.C.
• Brent Jeremy Campbell, D.O.
• Lindsay Beal Caraccio, DPH
• Matthew Jon Carbone, MPT
• Cardiovascular Imaging
• Kristen Anne Carroll
• Lisa Bertina Carroll, PA C
• Wendy Michelle Carroll, DNP RN
• Mauriska Felicia Cash Munroe
• Kaitlyn Cavins, OTD

• Physical Therapist in Hixson, TN
• Providers in Hixson, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.