Carr Athletic Performance & Physical Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

CARR ATHLETIC PERFORMANCE & PHYSICAL THERAPY, LLC

Practice address

1602 E Republic Rd
Springfield, MO 65804-6509

Phone

(417) 766-6037

Fax

(417) 865-4860

NPI assigned

May 19, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Cory Brendon Carr, PHYSICAL THERAPISTNPI 1881850782

Title

Owner

Phone

(417) 766-6037

Specialties & licenses 1

Addresses

Other names 1

• Carr Physical Therapy Sport Performance Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cory Brendon Carr, PT

  • Physical Therapist
  • Springfield, MO
  • NPI 1881850782
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351209600000",
    "number": "1225263304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2733 E BATTLEFIELD ST",
            "address_2": "#205",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658043981",
            "telephone_number": "417-766-6037",
            "fax_number": "417-865-4860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 E REPUBLIC RD",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658046509",
            "telephone_number": "417-766-6037",
            "fax_number": "417-865-4860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARR ATHLETIC PERFORMANCE & PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-19",
        "last_updated": "2012-10-26",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "CORY",
        "authorized_official_middle_name": "BRENDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-766-6037",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carr Physical Therapy Sport Performance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily Ann Carpenter, ATC, LAT
• James Darin Carpenter, LPC
• James Woodward Carpenter, LP
• Ken J. Carpenter, M.D.
• Lindsey A Carpentier
• Amanda Carr, LPC
• Casey Carr, OD
• Cory Brendon Carr, PT
• David Dorohoff Carr, D.O.
• Leslie Carr, DPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; 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.