Active NPI
Carli Reed
- Physical Therapist
- Auburntown, TN
National Provider Identifier
1124512397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11663
- Practice address
- 2615 Poplar Bluff Rd W
Auburntown, TN 37016-6133 - Phone
- (615) 866-7916
- NPI assigned
- Jun 20, 2018
- 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 | 11663 | TN | Primary |
Addresses
Primary practice location
2615 Poplar Bluff Rd W
Auburntown, TN 37016-6133
Mailing address
PO Box 94
Auburntown, TN 37016-0094
Phone (615) 866-7916
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529452800000",
"number": "1124512397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 94",
"city": "AUBURNTOWN",
"state": "TN",
"postal_code": "370160094",
"telephone_number": "615-866-7916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2615 POPLAR BLUFF RD W",
"city": "AUBURNTOWN",
"state": "TN",
"postal_code": "370166133",
"telephone_number": "615-866-7916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REED",
"first_name": "CARLI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-20",
"last_updated": "2018-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "11663",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.