Rachel Carter, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

400 Dixie Lee Center Rd
Suite a
Kimball, TN 37347-5672

Phone

(423) 837-7536

Fax

(423) 837-7538

NPI assigned

May 26, 2006

Last updated

Aug 21, 2013By 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

Other identifiers 1

Other names 1

• Rachel Gorham Former name

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Rehab and AquaticsGroup PAC ID 7810917051, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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

• Southern Rehab & Aquatics

  • Physical Therapist
  • Kimball, TN
  • NPI 1760502520
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377043200000",
    "number": "1063468593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 DIXIE LEE CENTER RD",
            "address_2": "SUITE A",
            "city": "KIMBALL",
            "state": "TN",
            "postal_code": "373475672",
            "telephone_number": "423-837-7536",
            "fax_number": "423-837-7538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 DIXIE LEE CENTER RD",
            "address_2": "SUITE A",
            "city": "KIMBALL",
            "state": "TN",
            "postal_code": "373475672",
            "telephone_number": "423-837-7536",
            "fax_number": "423-837-7538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "RACHEL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2013-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "3650078",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "GORHAM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dennis Ray Blevins Jr., DPT
• Karin B Boeck, M.D.
• Blair Alysse Bryant, PHARMD
• Jason Ernest Chastain, DC
• Chattanooga Orthopaedic Group, PC (Center for Sports Medicine and Orthopaedics)
• Kelsey E Dent, NP
• Gary Newton Elledge, MSN, NP-C
• Deborah Wyatt Gaddis, NP-C

• Physical Therapist in Kimball, TN
• Providers in Kimball, 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 21, 2013; 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.