Individual provider Active NPI

Carrie Lee Gilmore, DPT

  • Physical Therapist
  • Yerington, NV
National Provider Identifier
1265670756
Registry record updated Jun 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1797 Issued in NV
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

Updated by the provider on Jun 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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. 2 clinicians

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

LicenseStateTypeSpecialty
1797NVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mason Valley Physical Therapy, Inc. Physical Therapist CurrentSince Jan 3, 2012 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.

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.

Verify at the official NPI Registry.