Active NPI
Paul Carpenter, DPT
- Physical Therapist
- Little Falls, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9226
- Practice address
- 104 2ND St SE
Little Falls, MN 56345 - Phone
- (320) 414-0404
- Fax
- (320) 348-1239
- NPI assigned
- Sep 3, 2013
- Last updated
- Oct 4, 2019
- Sex
- Male
- 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 | 9226 | MN | Primary |
Addresses
Primary practice location
104 2ND St SE
Little Falls, MN 56345
Mailing address
104 2ND St SE
Little Falls, MN 56345-3037
Phone (320) 414-0404
Other practice location 1
224 Shorter Ave NW
Rome, GA 30165-4288
Phone (706) 235-2727
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9226 | MN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Woodlands Chiropractic PA | Current | Accepting new patients | |
| Interventional Pain & Physical Medicine Clinic | Physical Therapist | Current | Accepting new patients |
| Interventional Pain & Physical Medicine Clinic | Current | Accepting new patients | |
| Advance Rehabilitation and Consulting | Physical Therapist | Past | Accepting new patients |
Locations
48 29th Ave N
Saint Cloud, MN 56303
Phone (320) 240-0300
2301 Connecticut Ave S
Sartell, MN 56377
Phone (320) 229-1500
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pain Clinic/Center
- Sartell, MN
- NPI 1013056969
-
- Chiropractor
- Saint Cloud, MN
- NPI 1710078407
-
- Chiropractor
- Little Falls, MN
- NPI 1174089783
-
- Durable Medical Equipment & Medical Supplies
- Sartell, MN
- NPI 1710230800
Physical Therapist
-
- Physical Therapist
- Rome, GA
- NPI 1174518682
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570147200000",
"number": "1386079846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 2ND ST SE",
"city": "LITTLE FALLS",
"state": "MN",
"postal_code": "563453037",
"telephone_number": "320-414-0404",
"fax_number": "320-348-1239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 2ND ST SE",
"city": "LITTLE FALLS",
"state": "MN",
"postal_code": "56345",
"telephone_number": "320-414-0404",
"fax_number": "320-348-1239"
}
],
"practiceLocations": [
{
"address_1": "224 Shorter Ave NW",
"address_purpose": "LOCATION",
"city": "Rome",
"state": "GA",
"postal_code": "301654288",
"country_code": "US",
"telephone_number": "706-235-2727",
"fax_number": "706-235-2726",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARPENTER",
"first_name": "PAUL",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-09-03",
"last_updated": "2019-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "9226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Little Falls, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.