Individual provider Active NPI

Kerrin Eileen Carter, PT, DPT

  • Physical Therapist
  • West Hempstead, NY
National Provider Identifier
1295251874
Registry record updated Aug 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
042571 Issued in NY
Practice address
307 Eagle Ave
West Hempstead, NY 11552
Phone
(516) 986-9580
NPI assigned
Aug 16, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT4989 ME
Physical Therapist 225100000X 042571 NY Primary

Addresses

Primary practice location

307 Eagle Ave
West Hempstead, NY 11552

Mailing address

2767 Falcon St
East Meadow, NY 11554-4318

Other practice location 1

1145 Ross St
San Benito, TX 78586-4421
Phone (956) 361-6000

Other practice location 2

2117 E Tyler Ave Ste B
Harlingen, TX 78550-7212
Phone (956) 440-0580

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

LicenseStateTypeSpecialty
PT4989MEMDPhysical Therapist
042571NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1502841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534377600000",
    "number": "1295251874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2767 FALCON ST",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115544318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 EAGLE AVE",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "11552",
            "telephone_number": "516-986-9580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1145 Ross St",
            "address_purpose": "LOCATION",
            "city": "San Benito",
            "state": "TX",
            "postal_code": "785864421",
            "country_code": "US",
            "telephone_number": "956-361-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2117 E Tyler Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Harlingen",
            "state": "TX",
            "postal_code": "785507212",
            "country_code": "US",
            "telephone_number": "956-440-0580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER",
        "first_name": "KERRIN",
        "middle_name": "EILEEN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-16",
        "last_updated": "2018-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT4989",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "042571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hempstead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; 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.