Active NPI
Carrie Lee Gilmore, DPT
- Physical Therapist
- Yerington, NV
National Provider Identifier
1265670756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1797
- Practice address
- 513 W Bridge St
Suite E
Yerington, NV 89447-2661 - Phone
- (775) 463-4500
- Fax
- (775) 463-4545
- NPI assigned
- Jan 22, 2009
- 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 | 1797 | NV | Primary |
Addresses
Primary practice location
513 W Bridge St
Suite E
Yerington, NV 89447-2661
Mailing address
513 W Bridge St
Suite E
Yerington, NV 89447-2661
Phone (775) 463-4500
Other names 1
- Miss Carrie Lee Baker
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100510000604 | NV | Practitioner - Physical Therapist in Private Practice | 1153459391 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mason Valley Physical Therapy, Inc.
Practice addresses (Care Compare)
513 W Bridge St
Suite E
Yerington, NV 89447-2695
Phone (775) 463-4500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1797 | NV | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mason Valley Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
Locations
513 W Bridge St
Ste E
Yerington, NV 89447
Phone (775) 463-4500
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Yerington, NV
- NPI 1790050490
NV, Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467158400000",
"number": "1265670756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "513 W BRIDGE ST",
"address_2": "SUITE E",
"city": "YERINGTON",
"state": "NV",
"postal_code": "894472661",
"telephone_number": "775-463-4500",
"fax_number": "775-463-4545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "513 W BRIDGE ST",
"address_2": "SUITE E",
"city": "YERINGTON",
"state": "NV",
"postal_code": "894472661",
"telephone_number": "775-463-4500",
"fax_number": "775-463-4545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILMORE",
"first_name": "CARRIE",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-22",
"last_updated": "2016-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "1797",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CARRIE",
"last_name": "BAKER",
"middle_name": "LEE",
"prefix": "MISS",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Yerington, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; 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.