Active NPI
Carly Filiault
- Physical Therapist
- Statesville, NC
National Provider Identifier
1114373768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8098
- Practice address
- 2001 Van Haven Dr
Statesville, NC 28625-4342 - Phone
- (704) 883-9700
- NPI assigned
- May 12, 2016
- Sex
- Female
- 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 | 8098 | NC | Primary |
Addresses
Primary practice location
2001 Van Haven Dr
Statesville, NC 28625-4342
Mailing address
167 Lake Mist Dr
Mooresville, NC 28117-3513
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8098 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463011200000",
"number": "1114373768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "167 LAKE MIST DR",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281173513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 VAN HAVEN DR",
"city": "STATESVILLE",
"state": "NC",
"postal_code": "286254342",
"telephone_number": "704-883-9700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FILIAULT",
"first_name": "CARLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-12",
"last_updated": "2016-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "8098",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Statesville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.