David Earl Carn, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT2188 Issued in FL

Practice address

495 S Nova Rd Ste 113
Ormond Beach, FL 32174-8470

Phone

(386) 677-4300

Fax

(386) 615-9216

NPI assigned

Sep 13, 2007

Last updated

Feb 15, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Florida College of Medicine, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University Rehabilitation, LLCGroup PAC ID 6901884519, 20 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

74.5 of 100Reported as individual

Quality

70

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• University Rehabilitation, LLC

  dba Premier Physical Therapy and Sports Medicine

  • Physical Therapist
  • Port Orange, FL
  • NPI 1811185291

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Ocean One Enterprises

  dba Varsity Rehabilitation

  • Physical Therapist
  • New Smyrna Beach, FL
  • NPI 1013084557
  NPD (past) Authorized official
• Ocean One Enterprises

  dba Varsity Rehabilitation

  • Physical Therapist
  • Ormond Beach, FL
  • NPI 1487721585

  Multi-Specialty

  NPD (past) Authorized official
• Ocean One Enterprises

  dba Varsity Rehabilitation

  • Physical Therapist
  • Ormond Beach, FL
  • NPI 1578630679
  NPD (past)

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613347200000",
    "number": "1194910976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 S NOVA RD STE 113",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748470",
            "telephone_number": "386-677-4300",
            "fax_number": "386-615-9216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 S NOVA RD STE 113",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748470",
            "telephone_number": "386-677-4300",
            "fax_number": "386-615-9216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARN",
        "first_name": "DAVID",
        "middle_name": "EARL",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-13",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA6520",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT2188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE NUMBER",
            "identifier": "PT2188",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5132624",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPARTMENT OF LABOR",
            "identifier": "161730200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "1699893",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Carters Healthcare Professionals LLC
• Carters Healthcare Professionals LLC

• Physical Therapist in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.