Active NPI
Tracy Lynn Furman, PT
- Physical Therapist
- Mooresville, NC
National Provider Identifier
1346596202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P7035
- Practice address
- 140 Carriage Club Dr
Mooresville, NC 28117-9284 - Phone
- (704) 658-1200
- NPI assigned
- Jul 30, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P7035 | NC | Primary |
Addresses
Primary practice location
140 Carriage Club Dr
Mooresville, NC 28117-9284
Mailing address
2222 Sullivan TRL
Easton, PA 18040-7958
Phone (610) 991-2034
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
400 Tamiami TRL S
Suite 210
Venice, FL 34285-2626
Phone 87746937782004
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P7035 | NC | MD | Physical Therapist |
| 7035 | NC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fitness Quest - Venice LLC | Physical Therapist | Current | Accepting new patients |
| Fitness Quest - Venice LLC | Current | Accepting new patients |
Locations
3657 Cortez Rd W
Ste 110
Bradenton, FL 34210
Phone (941) 361-9020
400 Tamiami Trl S
Ste 210
Venice, FL 34285
Phone (877) 469-3778
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- Lakewood Ranch, FL
- NPI 1033129895
Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Longboat Key, FL
- NPI 1427936889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343606400000",
"number": "1346596202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2222 SULLIVAN TRL",
"city": "EASTON",
"state": "PA",
"postal_code": "180407958",
"telephone_number": "610-991-2034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 CARRIAGE CLUB DR",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281179284",
"telephone_number": "704-658-1200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FURMAN",
"first_name": "TRACY",
"middle_name": "LYNN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-30",
"last_updated": "2012-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P7035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mooresville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.