Carrie Ann Rubertino Shearer, A.T.C, P.T.

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

12302 Issued in NC

Practice address

320 Emergency Room Dr
James a. Taylor Building CB#7470
Chapel Hill, NC 27599-7470

Phone

(919) 966-6548

Fax

(919) 843-4771

NPI assigned

Nov 30, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 4

Other names 1

• Carrie Ann Rubertino Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Campus Health Services

  • Clinic/Center
  • Chapel Hill, NC
  • NPI 1356368708
  NPD (past)

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275350400000",
    "number": "1356419360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 EMERGENCY ROOM DR",
            "address_2": "JAMES A. TAYLOR BUILDING CB#7470",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997470",
            "telephone_number": "919-966-6548",
            "fax_number": "919-843-4771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 EMERGENCY ROOM DR",
            "address_2": "JAMES A. TAYLOR BUILDING CB#7470",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997470",
            "telephone_number": "919-966-6548",
            "fax_number": "919-843-4771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBERTINO SHEARER",
        "first_name": "CARRIE",
        "middle_name": "ANN",
        "credential": "A.T.C, P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2010-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "CA",
            "license": "25878",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NC",
            "license": "12302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY",
            "identifier": "25878",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPIST",
            "identifier": "12302",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED ATHLETIC TRAINER",
            "identifier": "1629",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATABOC",
            "identifier": "079802470",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "RUBERTINO",
            "middle_name": "ANN",
            "credential": "A.T.C, P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gina K Royall
• Cynthia Louise Royals, LCSW
• Kathren Sage Royston, MD
• RSS/Chapel Hill Operations, LLC
• David S Rubenstein, MD
• Janet E Rubin, MD
• Tara C Rubinas, MD
• David R Rubinow, MD
• Daniel Ethan Rubinstein, MD
• Rebecca Judith Rubinstein, PHD

• Orthopedic Physical Therapist in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Orthopedic Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2010; 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.