Active NPI
Eric Spencer Carter, PTA
- Physical Therapy Assistant
- Leavenworth, KS
National Provider Identifier
1023508934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 14-03214
- Practice address
- 2916 S 4TH St
Leavenworth, KS 66048-5002 - Phone
- (913) 758-0283
- NPI assigned
- May 16, 2018
- Sex
- Male
- 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 Therapy Assistant | 225200000X | 14-03214 | KS | Primary |
Addresses
Primary practice location
2916 S 4TH St
Leavenworth, KS 66048-5002
Mailing address
1971 Troup Ave
Kansas City, KS 66104-5728
Phone (913) 981-3445
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 |
|---|---|---|---|
| 14-03214 | KS | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526428800000",
"number": "1023508934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1971 TROUP AVE",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "661045728",
"telephone_number": "913-981-3445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2916 S 4TH ST",
"city": "LEAVENWORTH",
"state": "KS",
"postal_code": "660485002",
"telephone_number": "913-758-0283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "ERIC",
"middle_name": "SPENCER",
"name_prefix": "Mr.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-16",
"last_updated": "2018-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "KS",
"license": "14-03214",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leavenworth, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.