Organization Active NPI

Carroll Physical Therapy, Inc.

  • Physical Therapist
  • Hobe Sound, FL
National Provider Identifier
1013035104
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT19437 Issued in FL
Legal business name
CARROLL PHYSICAL THERAPY, INC.
Practice address
9073 S.E. Bridge R.D.
Suite E
Hobe Sound, FL 33455-7941
Phone
(561) 255-7444
Fax
(561) 966-5887
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Terance Dean Carroll, P.T.NPI 1386762466
Title
President
Phone
(561) 255-7444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT19437 FL Primary

Addresses

Primary practice location

9073 S.E. Bridge R.D.
Suite E
Hobe Sound, FL 33455-7941

Mailing address

9465 Sedgewood Dr
Lake Worth, FL 33467-6993
Phone (561) 255-7444

National Provider Directory

National Provider Directory

Locations

9073 SE Bridge Rd
Ste E
Hobe Sound, FL 33455
Phone (561) 255-7444

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013035104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9465 SEDGEWOOD DR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334676993",
            "telephone_number": "561-255-7444",
            "fax_number": "561-966-5887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9073 S.E. BRIDGE R.D.",
            "address_2": "SUITE E",
            "city": "HOBE SOUND",
            "state": "FL",
            "postal_code": "334557941",
            "telephone_number": "561-255-7444",
            "fax_number": "561-966-5887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARROLL PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "TERANCE",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-255-7444",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT19437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hobe Sound, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.