Carolyn Moody Physical Therapy Co.

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

819 Issued in AR

Legal business name

CAROLYN MOODY PHYSICAL THERAPY CO.

Practice address

217 E Cherry Ave
Jonesboro, AR 72401-3372

Phone

(870) 932-5551

NPI assigned

Oct 18, 2007

Last updated

Oct 18, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Carolyn MoodyNPI 1356432439

Title

Owner

Phone

(870) 932-5551

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carolyn A Moody, PT

  • Specialist
  • Jonesboro, AR
  • NPI 1356432439
  Authorized official Same address or phone

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1114116878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 E CHERRY AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724013372",
            "telephone_number": "870-932-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 E CHERRY AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724013372",
            "telephone_number": "870-932-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLYN MOODY PHYSICAL THERAPY CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "MOODY",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-932-5551",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "AR",
            "license": "819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165343742",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Lauren Carmack, M.D.
• Edmund Carmack, CRNA
• Bryan Carmer
• Zachary Carmer, MHPP
• Samantha Brooke Carmichael
• Melanie Carpenter Burns
• John Derek Carpenter, LPN
• Leslie A Carpenter, MHPP
• Matthew Carpenter
• Ruth Ann Carpenter, LCSW

• Pediatric Physical Therapist in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Pediatric Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.

Verify at the official NPI Registry.