Active NPI
Carla Cleary
- Physical Therapist
- Biloxi, MS
National Provider Identifier
1225717408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT794
- Practice address
- 2781 CT Switzer Sr Drive
Biloxi, MS 39531 - Phone
- (228) 831-0416
- Fax
- (228) 831-0521
- NPI assigned
- Jul 14, 2023
- Last updated
- Jul 14, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT794 | MS | Primary |
Addresses
Primary practice location
2781 CT Switzer Sr Drive
Biloxi, MS 39531
Mailing address
251 Johnston St SE Ste 200
Decatur, AL 35601-2515
Phone (256) 350-1764
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT794 | MS | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689292800000",
"number": "1225717408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "251 JOHNSTON ST SE STE 200",
"city": "DECATUR",
"state": "AL",
"postal_code": "356012515",
"telephone_number": "256-350-1764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2781 CT SWITZER SR DRIVE",
"city": "BILOXI",
"state": "MS",
"postal_code": "39531",
"telephone_number": "228-831-0416",
"fax_number": "228-831-0521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEARY",
"first_name": "CARLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-14",
"last_updated": "2023-07-14",
"certification_date": "2023-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MS",
"license": "PT794",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Biloxi, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.