Individual provider Active NPI

Kimberly Carter, PT, NCS

  • Neurology Physical Therapist
  • Memphis, TN
National Provider Identifier
1194186387
Registry record updated Mar 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology Physical TherapistTaxonomy code 2251N0400X
License
3950 Issued in TN
Practice address
930 Madison Ave
Room 658
Memphis, TN 38163-2243
Phone
(901) 448-5888
Fax
(901) 448-1411
NPI assigned
Mar 15, 2016
Last updated
Mar 15, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physical Therapist 2251N0400X 3950 TN Primary

Addresses

Primary practice location

930 Madison Ave
Room 658
Memphis, TN 38163-2243

Mailing address

930 Madison Ave
Room 658
Memphis, TN 38163-2243
Phone (901) 448-5888

Other identifiers 2

IdentifierTypeStateIssuer
0446645MedicaidTN
3133295OtherTNBLUE CROSS BLUE SHIELD OF TN

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

LicenseStateTypeSpecialty
3950TNMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1458000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458000000000",
    "number": "1194186387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 MADISON AVE",
            "address_2": "ROOM 658",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381632243",
            "telephone_number": "901-448-5888",
            "fax_number": "901-448-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 MADISON AVE",
            "address_2": "ROOM 658",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381632243",
            "telephone_number": "901-448-5888",
            "fax_number": "901-448-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "KIMBERLY",
        "name_prefix": "Mrs.",
        "credential": "PT, NCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-15",
        "last_updated": "2016-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "TN",
            "license": "3950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0446645",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF TN",
            "identifier": "3133295",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

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

Verify at the official NPI Registry.