Active NPI
Glenn W Carter
- Physical Therapist
- Mountain Home, AR
National Provider Identifier
1053445486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2002
- Practice address
- 413 Colewood Dr
Mountain Home, AR 72653-4175 - Phone
- (870) 425-8558
- NPI assigned
- Mar 15, 2007
- 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 Therapist | 225100000X | 2002 | AR | Primary |
Addresses
Primary practice location
413 Colewood Dr
Mountain Home, AR 72653-4175
Mailing address
413 Colewood Dr
Mountain Home, AR 72653-4175
Phone (870) 425-8558
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053445486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "413 COLEWOOD DR",
"city": "MOUNTAIN HOME",
"state": "AR",
"postal_code": "726534175",
"telephone_number": "870-425-8558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "413 COLEWOOD DR",
"city": "MOUNTAIN HOME",
"state": "AR",
"postal_code": "726534175",
"telephone_number": "870-425-8558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "GLENN",
"middle_name": "W",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "2002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mountain Home, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.