Individual provider Active NPI

Lauren Brittney Carson, P.T.

  • Physical Therapist
  • Rogers, AR
National Provider Identifier
1376793620
Registry record updated Sep 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 3087 Issued in AR
Practice address
1000 W Poplar St
Rogers, AR 72756-4242
Phone
(479) 631-7678
Fax
(479) 631-8886
NPI assigned
Sep 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 3087 AR Primary

Addresses

Primary practice location

1000 W Poplar St
Rogers, AR 72756-4242

Mailing address

1415 Gooseneck LN
Cave Springs, AR 72718-5002
Phone (479) 908-6556

Other identifiers 2

IdentifierTypeStateIssuer
175204721MedicaidAR
P00671333OtherARMEDICARE RAILROAD

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 3087ARMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Post 0218, PLC PastSince Jul 28, 2024 Accepting new patients
River Valley Therapy & Sports Medicine Inc Physical Therapist PastSince Sep 16, 2001 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411689600000",
    "number": "1376793620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 GOOSENECK LN",
            "city": "CAVE SPRINGS",
            "state": "AR",
            "postal_code": "727185002",
            "telephone_number": "479-908-6556",
            "fax_number": "479-908-6556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W POPLAR ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727564242",
            "telephone_number": "479-631-7678",
            "fax_number": "479-631-8886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARSON",
        "first_name": "LAUREN",
        "middle_name": "BRITTNEY",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-23",
        "last_updated": "2014-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT 3087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175204721",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00671333",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2014; 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.