Killian Carlton

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12922 Issued in TN

Practice address

1801 12TH Ave N
Nashville, TN 37208-1446

Phone

(231) 740-8259

NPI assigned

Aug 3, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Runners Revival, LLC

  • Physical Therapy Clinic/Center
  • Nashville, TN
  • NPI 1467189076
  NPD Authorized official

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

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1043820350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 DUGGER DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372061272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 12TH AVE N",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372081446",
            "telephone_number": "231-740-8259"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2332 Lebanon Pike",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372142411",
            "country_code": "US",
            "telephone_number": "615-690-9760",
            "fax_number": "615-690-9758",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARLTON",
        "first_name": "KILLIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-03",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "12922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren P Carlson, APRN
• Michael G Carlson, MD
• Shilpa Reddy Carlson, DO
• Beth Ann Carlton, MSN, FNP-BC
• Emma Carlton
• Melissa D Carlton, CRNA
• Leon Carlyle
• Henry Banes Carlyon Jr.
• Kellye Alyce Carman, LCSW
• Taylor Lynn Carman, DPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; 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.