Ashlyn Nicole Carroll, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5758 Issued in OK

Practice address

612 W 18TH St
Edmond, OK 73013-3631

Phone

(405) 330-3994

NPI assigned

Jun 18, 2020

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

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Select Physical Therapy Holdings Inc

  • Physical Therapy Clinic/Center
  • Stillwater, OK
  • NPI 1205162716

  OK, Physical Therapist

  Medicare reassignment NPD
• Select Physical Therapy Holdings Inc.

  • Rehabilitation Clinic/Center
  • Jenks, OK
  • NPI 1013570357
  NPD
• Select Physical Therapy Holdings Inc

  • Physical Therapy Clinic/Center
  • Ashland, VA
  • NPI 1174591218
  NPD
• Select Physical Therapy Holdings Inc

  • Rehabilitation Clinic/Center
  • Bethany, OK
  • NPI 1437110020
  NPD (past)
• Select Physical Therapy Holdings Inc

  • Rehabilitation Clinic/Center
  • Tulsa, OK
  • NPI 1811958440
  NPD (past)

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

{
    "created_epoch": "1592438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592438400000",
    "number": "1154947828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 S BLACK OAK DR",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740742675",
            "telephone_number": "580-278-9707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 W 18TH ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133631",
            "telephone_number": "405-330-3994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "ASHLYN",
        "middle_name": "NICOLE",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-18",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "5758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Lorraine Carr
• Melvin Carr Jr.
• Elizabeth Stanfield Carradini, DNP, APRN, FNP-C
• Carrissa Candler MD PLLC
• Armando Carro, DPM
• Christopher Carson, MD
• Craig W Carson, M.D.
• Carter Healthcare Pharmacy and DME of Oklahoma, LLC
• Carter Professional Care, Corp
• Greta Carter-Forcina, MA, CCC-SLP

• All providers in Edmond, OK
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.