Active NPI
Carrie Cothran, D.P.T.
- Physical Therapist
- Rockville, MD
National Provider Identifier
1114437688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 23644
- Practice address
- 5410 Edson Lane Suite 350
Rockville, MD 20852 - Phone
- (301) 881-9313
- Fax
- (301) 881-9312
- NPI assigned
- Oct 10, 2017
- Last updated
- Oct 10, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 871382 | DC | |
| Physical Therapist | 225100000X | 2305210081 | VA | |
| Physical Therapist | 225100000X | 23644 | MD | Primary |
Addresses
Primary practice location
5410 Edson Lane Suite 350
Rockville, MD 20852
Mailing address
5410 Edson Lane Suite 350
Rockville, MD 20852
Phone (301) 881-9313
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 |
|---|---|---|---|
| 871382 | DC | MD | Physical Therapist |
| 23644 | MD | MD | Physical Therapist |
| 2305210081 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carrie Cothran LLC | Physical Therapist | Current | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507593600000",
"number": "1114437688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5410 EDSON LANE SUITE 350",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "20852",
"telephone_number": "301-881-9313",
"fax_number": "301-881-9312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5410 EDSON LANE SUITE 350",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "20852",
"telephone_number": "301-881-9313",
"fax_number": "301-881-9312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COTHRAN",
"first_name": "CARRIE",
"name_prefix": "Ms.",
"credential": "D.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-10",
"last_updated": "2017-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DC",
"license": "871382",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305210081",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "23644",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.