Active NPI
William Vincent Carter, L.P.T.A.
- Physical Therapy Assistant
- Laurel, MD
National Provider Identifier
1255453650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- A1122
- Practice address
- 14502 Greenview Dr
Suite 406
Laurel, MD 20708-3287 - Phone
- (301) 362-0114
- Fax
- (866) 566-5311
- NPI assigned
- Apr 4, 2007
- Sex
- Male
- 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 Therapy Assistant | 225200000X | A1122 | MD | Primary |
Addresses
Primary practice location
14502 Greenview Dr
Suite 406
Laurel, MD 20708-3287
Mailing address
1521 N Pulaski St
Baltimore, MD 21217-1126
Phone (410) 523-7450
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
| License | State | Type | Specialty |
|---|---|---|---|
| A1122 | MD | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1255453650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1521 N PULASKI ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212171126",
"telephone_number": "410-523-7450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14502 GREENVIEW DR",
"address_2": "SUITE 406",
"city": "LAUREL",
"state": "MD",
"postal_code": "207083287",
"telephone_number": "301-362-0114",
"fax_number": "866-566-5311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "WILLIAM",
"middle_name": "VINCENT",
"name_prefix": "Mr.",
"credential": "L.P.T.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MD",
"license": "A1122",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laurel, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.