Individual provider Active NPI

Kallan Noelle Carper

  • Physical Therapist
  • Rome, GA
National Provider Identifier
1396652285
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT018555 Issued in GA
Practice address
314 E 1St Ave Ste 701
Rome, GA 30161-3216
Phone
(706) 314-8504
NPI assigned
Aug 26, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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 PT018555 GA Primary

Addresses

Primary practice location

314 E 1St Ave Ste 701
Rome, GA 30161-3216

Mailing address

314 E 1St Ave Ste 701
Rome, GA 30161-3216
Phone (706) 314-8504

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1787702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1396652285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 E 1ST AVE STE 701",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301613216",
            "telephone_number": "706-314-8504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 E 1ST AVE STE 701",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301613216",
            "telephone_number": "706-314-8504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPER",
        "first_name": "KALLAN",
        "middle_name": "NOELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-26",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT018555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.