Amy Ruth Carty, PT, DPT
Individual provider Active NPI Physical Therapist · Livingston, TN
NPI 1356719587 · NPPES record last updated Aug 8, 2023
Key facts
- NPI
- 1356719587
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 10396 (TN)
- Practice address
- 502 W Main St
Livingston, TN 38570-1718 - Phone
- (931) 823-6136
- Fax
- (931) 823-6138
- NPI assigned
- Sep 3, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
502 W Main St
Livingston, TN 38570-1718
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260616004082 | TN | Practitioner - Physical Therapist in Private Practice | 8729559778 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10396 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kids First Pediatric Therapies, LLC | Physical Therapist | Current |
Accepting new patients |
Locations
502 W Main St
Livingston, TN 38570
Phone (931) 823-4045
800 W Main St
Ste B
Livingston, TN 38570
Phone (931) 403-2450
306 W Broad St
Ste B
Livingston, TN 38570
Phone (931) 823-6136
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 10396 | TN | Yes |
Addresses
Primary practice location
502 W Main St
Livingston, TN 38570-1718
Mailing address
502 W Main St
Livingston, TN 38570-1718
Phone (931) 823-6136
Other providers in Livingston, TN
- Ken Cannon
- Cantadora Wellness Professional Limited Liability Company
- Douglas Canter
- Kelli Carr
- Kelly Carter
- Timothy Brooks Cherry
- Clarks Medical Center Pharmacy
- Barton M. Clements
- John R Clough
- Mechele Therese Clough
All providers in Livingston, TN · Physical Therapist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.