Darla Sue Carbaugh, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00008727 Issued in WA

Practice address

250 C Westlake Avenue
Morton, WA 98356-0145

Phone

(360) 496-0087

Fax

(360) 496-0078

NPI assigned

May 3, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Ms. Darla Sue Smith Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Pro Plus Physical Therapy

  • Physical Therapist
  • Morton, WA
  • NPI 1801083829
  NPD (past) Authorized official

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351728000000",
    "number": "1104048453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 145",
            "city": "MORTON",
            "state": "WA",
            "postal_code": "983560145",
            "telephone_number": "360-496-0087",
            "fax_number": "360-496-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 C WESTLAKE AVENUE",
            "city": "MORTON",
            "state": "WA",
            "postal_code": "983560145",
            "telephone_number": "360-496-0087",
            "fax_number": "360-496-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARBAUGH",
        "first_name": "DARLA",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2012-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00008727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7127327",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRY PROVIDER",
            "identifier": "0192531",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DARLA",
            "last_name": "SMITH",
            "middle_name": "SUE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Chana Albracht, PT, MPT
• Charles T Anderson, MD
• Shanna Lee Angel, ARNP
• Cheri Dunham Beitia, DDS
• Angelina L Bowen, MA, LMFT
• Donald A Carroll, O.D.
• Margo Jeanette Cooper, PT
• Merrell N Cooper, DO
• Chris Cott, PT
• Heather Day, CRNA

• All providers in Morton, WA
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2012; 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.