Carmen Abbott, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

00507 Issued in MO

Practice address

1100 Club Village Dr Ste 103
Columbia, MO 65203-4411

Phone

(573) 256-2777

NPI assigned

Dec 15, 2009

Last updated

Dec 15, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1260835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260835200000",
    "number": "1184953465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12700 S CLINKENBEARD RD",
            "city": "ASHLAND",
            "state": "MO",
            "postal_code": "650109713",
            "telephone_number": "573-657-4507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 CLUB VILLAGE DR STE 103",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652034411",
            "telephone_number": "573-256-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBOTT",
        "first_name": "CARMEN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-15",
        "last_updated": "2009-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "00507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Cunningham DC LLC
• Mark A Ababio
• Jocelyn N Abanes, PSY.D
• Gani Abazi, MD, MPH
• Ahmed F Abbas, MD
• Amr Samy Mohamed Abdelaziz, M.D.
• Mohamed Khalaf Mahmoud Abdelhakiem, MD
• Hilal Abdessamad, MD
• Mehamed Ebrahim Abdi, MD
• Ahmed Mohamed Abdulkadir, MD

• Physical Therapist in Columbia, MO
• Providers in Columbia, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; 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.