Carter Spinal Orthopedic and Sports Rehab

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

5501004885 Issued in MI

Legal business name

CARTER SPINAL ORTHOPEDIC AND SPORTS REHAB

Practice address

27200 Lahser Rd
Suite 100
Southfield, MI 48034-2137

Phone

(313) 341-5534

NPI assigned

Mar 25, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Deneen Carter, DPT OMPT CSCS

Title

Owner

Phone

(313) 341-5534

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427241600000",
    "number": "1245624410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20051 RENFREW RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482211391",
            "telephone_number": "313-341-5534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27200 LAHSER RD",
            "address_2": "SUITE 100",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480342137",
            "telephone_number": "313-341-5534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARTER SPINAL ORTHOPEDIC AND SPORTS REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-25",
        "last_updated": "2015-03-25",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "DENEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-341-5534",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT OMPT CSCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MI",
            "license": "5501004885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antonio P Carrillo, MD
• Kelly Anne Carroll, FNP
• Leondra Carroll
• Kioko Trinity Carruthers
• Porsche Carson
• Beatrice Ann Carter
• Beth A Carter, MD
• Clarisse Michelle Carter
• Jacquelyne Ann Carter
• Julianna Carter

• Physical Therapy Clinic/Center in Southfield, MI
• Providers in Southfield, MI by specialty
• Physical Therapy Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2015; 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.