Cara Lea Carrington, PT, DPT
Individual provider Active NPI Physical Therapist · Bolivar, MO
NPI 1306297759 · NPPES record last updated Jul 7, 2016
Key facts
- NPI
- 1306297759
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2016023458 (MO)
- Practice address
- 4586 S 116TH Rd
Bolivar, MO 65613-8547 - Phone
- (417) 326-2466
- Fax
- (417) 326-7739
- NPI assigned
- Jun 27, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2016023458 | MO | MD | Physical Therapist |
| 5102 | OK | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Motor Monkeys LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2016023458 | MO | Yes |
| Physical Therapist | 225100000X | 5102 | OK |
Addresses
Primary practice location
4586 S 116TH Rd
Bolivar, MO 65613-8547
Mailing address
4586 S 116TH Rd
Bolivar, MO 65613-8547
Phone (417) 326-2466
Other providers in Bolivar, MO
- Shannon Leigh Calvert
- Ian Scott Campbell
- Zachary Carel
- Carl L. Blomenkamp,D.C.,P.C.
- Chad Lee Carrel
- Casablanca Care Center, LLC
- Central Care PA
- Central Care, PA
- Chiropractic Health and Wellness Center LLC
- Grace Cidlik
All providers in Bolivar, MO · Physical Therapist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.