Individual provider Active NPI

Rachel Christine Carroll, DPT

  • Orthopedic Physical Therapist
  • Tulsa, OK
National Provider Identifier
1285258202
Registry record updated Jun 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
5804 Issued in OK
Practice address
1876 Utica SQ Ste 1B
Tulsa, OK 74114-1452
Phone
(918) 720-5989
Fax
(918) 518-7006
NPI assigned
Jun 5, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 5804 OK Primary

Addresses

Primary practice location

1876 Utica SQ Ste 1B
Tulsa, OK 74114-1452

Mailing address

1876 Utica SQ Ste 1B
Tulsa, OK 74114-1452
Phone (918) 720-5989

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200825000582 OK Practitioner - Physical Therapist in Private Practice 9133546013 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Recover LLCGroup PAC ID 7810201738, 5 clinicians

Practice addresses (Care Compare)

1876 Utica SQ
Suite 1B
Tulsa, OK 74114-1452
Phone (918) 720-5989

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5804OKMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Recover LLC CurrentSince Aug 5, 2020 Accepting new patients

Locations

1876 Utica Sq
Ste 1B
Tulsa, OK 74114
Phone (918) 720-5989

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1591315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591315200000",
    "number": "1285258202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1876 UTICA SQ STE 1B",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741141452",
            "telephone_number": "918-720-5989",
            "fax_number": "918-518-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1876 UTICA SQ STE 1B",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741141452",
            "telephone_number": "918-720-5989",
            "fax_number": "918-518-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "RACHEL",
        "middle_name": "CHRISTINE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-05",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OK",
            "license": "5804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2020; 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.