Carrie Marie Vincent, PHYSICAL THERAPIST

Primary specialty

SpecialistTaxonomy code 174400000X

License

027472 Issued in NY

Practice address

401North Main Street
North Syracuse, NY 13212

Phone

(315) 452-5580

Fax

(315) 452-5303

NPI assigned

Jun 20, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Carrie Marie Vincent Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Camillus Physical Therapy and Sports Rehabilitation

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  • NPI 1457461006
  NPD (past)
• Syracuse Physical Therapy PC

  • Physical Therapist
  • Syracuse, NY
  • NPI 1013113729
  NPD (past)

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316142243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 NORTH MAIN STREET",
            "city": "NORTHSYRACUSE",
            "state": "NY",
            "postal_code": "13212",
            "telephone_number": "315-452-5580",
            "fax_number": "315-452-5303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401NORTH MAIN STREET",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "13212",
            "telephone_number": "315-452-5580",
            "fax_number": "315-452-5303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCENT",
        "first_name": "CARRIE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "027472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "VINCENT",
            "middle_name": "MARIE",
            "prefix": "MRS.",
            "credential": "PHYSICAL THERAPIST",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cari Lynn Tudman, M.S.T.
• Melannie Ulloa
• Untangled, Mental Health Counseling & Creative Arts Therapy, PLLC
• Sara Urciuoli, LMHC
• Toni Lynne Vadala, LCSW, LMSW
• Gayle Lynn Vinette, RN
• Susan Wagner, NP
• Shaun Waldron, ATC, LMT
• Walgreen Co
• Walgreen Co

• Specialist in North Syracuse, NY
• Providers in North Syracuse, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.