Carol Ann Sparks, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6246 Issued in NV

Practice address

4855 Blue Diamond Rd Ste 210
Las Vegas, NV 89139-7602

Phone

(725) 207-3770

NPI assigned

Aug 14, 2023

Last updated

Aug 16, 2023By the provider in NPPES

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

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Women's Advantage Physical Therapy IncGroup PAC ID 5698940138, 24 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Women's Advantage Physical Therapy Inc

  • Orthopedic Physical Therapist
  • Torrance, CA
  • NPI 1396054953
  Medicare reassignment Care Compare group NPD
• Pearl Chiropractic Inc

  • Chiropractor
  • Long Beach, CA
  • NPI 1871105031
  NPD (past)

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1053094292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5016 S RAINBOW BLVD UNIT 203",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891180697",
            "telephone_number": "818-613-3252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4855 BLUE DIAMOND RD STE 210",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891397602",
            "telephone_number": "725-207-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARKS",
        "first_name": "CAROL",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "6246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kellie Sparkman
• Sparks Family Medicine LTD
• Sparks Hospice Care LLC
• Amy Sparks, MD
• Ashley Sparks, LMSW, CSW-INTERN
• Leland L Sparks, BS
• Madlyn Sparks, RN
• Alexander R. Sparkuhl, M.D.
• Marissa Sparman, RN
• Sherry Sparr

• Physical Therapist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Physical Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.