Trent Grayson Carter, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

6264 Issued in NC

Practice address

1130D Snow Bridge LN
Kernersville, NC 27284-8411

Phone

(133) 640-4168

Fax

(336) 404-1684

NPI assigned

May 30, 2017

Last updated

May 30, 2017By the provider in NPPES

Sex

Male

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

State licenses

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

{
    "created_epoch": "1496102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496102400000",
    "number": "1073041539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 MADISON PLACE CIR",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272847753",
            "telephone_number": "336-416-1462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130D SNOW BRIDGE LN",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272848411",
            "telephone_number": "133-640-4168",
            "fax_number": "336-404-1684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "TRENT",
        "middle_name": "GRAYSON",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-30",
        "last_updated": "2017-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "6264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolina Physical Therapy Specialists, Inc
• Carolina Urological Associates, P.a.
• Kayla Rene' Carpenter, RN, LMBT
• Joel Sergio Carrera, PHARM.D.
• Terry Carter, LCSW
• Renee Junette Cascen McIntosh, OT/L
• Amber Casstevens, PHARMD
• Rebecca Castoral, LMBT
• Deborah Victoria Cates, L.P.C.
• Aeryal Cristianna Ceaser, PT DPT

• Physical Therapy Assistant in Kernersville, NC
• Providers in Kernersville, NC by specialty
• Physical Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2017; 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.