Michael Joseph Carroll, M ED, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT1173 Issued in TX

Practice address

2650 W Overhill Dr
Stephenville, TX 76401-1972

Phone

(254) 968-4716

NPI assigned

Jun 30, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396774725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 E MCNEIL ST",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764014333",
            "telephone_number": "254-965-7632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 W OVERHILL DR",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764011972",
            "telephone_number": "254-968-4716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "credential": "M ED, LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT1173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cody Marshall Caraway, PT, DPT
• Cardiac Care, P.a. (Cardiac Care)
• Alyssa Cardona
• Callie Ann Carey
• Katie Carr, LPC
• Joshua Lee Carswell, PA
• Roberta Carter, PT
• Sara Holzbauer de Castellanos, D.O.
• Kylee Rae Castillo, M.S., LPC-I, C.A.R.T
• Central Texas Healthcare Services (Central Texas Surgical Services)

• Athletic Trainer in Stephenville, TX
• Providers in Stephenville, TX by specialty
• Athletic Trainer in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.