Active NPI
Carolyn M Carty, PT
- Physical Therapist
- Suffolk, VA
National Provider Identifier
1013102045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305001984
- Practice address
- 2012 Meade Pkwy
Suffolk, VA 23434-4259 - Phone
- (757) 934-3366
- Fax
- (757) 539-2322
- NPI assigned
- Sep 12, 2007
- 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 | 2305001984 | VA | Primary |
Addresses
Primary practice location
2012 Meade Pkwy
Suffolk, VA 23434-4259
Mailing address
PO Box 7848
Portsmouth, VA 23707-0848
Phone (757) 398-0853
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305001984 | VA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218067200000",
"number": "1013102045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7848",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237070848",
"telephone_number": "757-398-0853",
"fax_number": "757-398-0030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2012 MEADE PKWY",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234344259",
"telephone_number": "757-934-3366",
"fax_number": "757-539-2322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTY",
"first_name": "CAROLYN",
"middle_name": "M",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-12",
"last_updated": "2008-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305001984",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Suffolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.