Active NPI
Lauren Brittney Carson, P.T.
- Physical Therapist
- Rogers, AR
National Provider Identifier
1376793620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 3087
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 175204721 | Medicaid | AR | |
| P00671333 | Other | AR | MEDICARE 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
| License | State | Type | Specialty |
|---|---|---|---|
| PT 3087 | AR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Post 0218, PLC | Past | Accepting new patients | |
| River Valley Therapy & Sports Medicine Inc | Physical Therapist | Past | 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.
-
- Physical Therapy Clinic/Center
- Rogers, AR
- NPI 1679617427
-
- Physical Therapist
- Russellville, AR
- NPI 1619925732
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.