Active NPI
Carrie Lynne Stiles, MSPT
- Pediatric Physical Therapist
- Anderson, SC
National Provider Identifier
1316222060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 7258
- Practice address
- 1321 Old Gantt Mill Rd
Anderson, SC 29625-6536 - Phone
- (864) 780-4040
- Fax
- (864) 780-4030
- NPI assigned
- Oct 13, 2011
- Last updated
- Nov 22, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 7258 | SC | |
| Physical Therapist | 225100000X | 40QA0893200 | NJ | |
| Pediatric Physical Therapist | 2251P0200X | 7258 | SC | Primary |
Addresses
Primary practice location
1321 Old Gantt Mill Rd
Anderson, SC 29625-6536
Mailing address
1321 Old Gantt Mill Rd
Anderson, SC 29625-6536
Phone (864) 780-4040
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
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA0893200 | NJ | MD | Physical Therapist |
| 7258 | SC | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Care Physical Therapy | Current | Accepting new patients |
Locations
17 Linden Pl
Ste 103
Red Bank, NJ 07701
Phone (732) 383-6789
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.
-
- Physical Therapy Clinic/Center
- Anderson, SC
- NPI 1235400649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669075200000",
"number": "1316222060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1321 OLD GANTT MILL RD",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296256536",
"telephone_number": "864-780-4040",
"fax_number": "864-780-4030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1321 OLD GANTT MILL RD",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296256536",
"telephone_number": "864-780-4040",
"fax_number": "864-780-4030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STILES",
"first_name": "CARRIE",
"middle_name": "LYNNE",
"name_prefix": "Mrs.",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-13",
"last_updated": "2022-11-22",
"certification_date": "2022-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "7258",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA0893200",
"primary": false
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "SC",
"license": "7258",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anderson, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.