Organization Active NPI

Carter Rehabilitation LLC

  • Physical Therapy Clinic/Center
  • Flagstaff, AZ
National Provider Identifier
1336194745
Registry record updated Jul 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
80276892 Issued in AZ
Legal business name
CARTER REHABILITATION LLC
Practice address
1300 S Milton Rd
Suite 125
Flagstaff, AZ 86001-6398
Phone
(928) 226-0792
Fax
(928) 779-6408
NPI assigned
May 24, 2006
Last updated
Jul 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2013

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

Authorized official

Name
Joseph Michael Carter, PT, DPTNPI 1316941149
Title
Physical Therapist- Owner
Phone
(928) 226-0792

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 80276892 AZ Primary

Addresses

Primary practice location

1300 S Milton Rd
Suite 125
Flagstaff, AZ 86001-6398

Mailing address

1300 S Milton Rd
Suite 125
Flagstaff, AZ 86001-7302
Phone (928) 226-0792

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070925000125 AZ Part B Supplier - Clinic/Group Practice 6103910997 Receives reassigned benefits from 1 practitioner
Practice locations: Flagstaff, AZ

National Provider Directory

National Provider Directory

Locations

1300 S Milton Rd
Ste 125
Flagstaff, AZ 86001
Phone (602) 277-2228

1800 S Milton Rd
Ste 103
Flagstaff, AZ 86001
Phone (928) 226-0792

500 S River Run Rd
Ste 101
Flagstaff, AZ 86001
Phone (928) 226-0792

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373328000000",
    "number": "1336194745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 S MILTON RD",
            "address_2": "SUITE 125",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860017302",
            "telephone_number": "928-226-0792",
            "fax_number": "928-779-6408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S MILTON RD",
            "address_2": "SUITE 125",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860016398",
            "telephone_number": "928-226-0792",
            "fax_number": "928-779-6408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARTER REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2013-07-09",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST- OWNER",
        "authorized_official_telephone_number": "928-226-0792",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AZ",
            "license": "80276892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.