Diane Elizabeth Carroll, PT
Individual provider Active NPI Physical Therapist · Estero, FL
NPI 1407863897 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1407863897
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT21868 (FL)
- Practice address
- 9250 Corkscrew Rd
Suite 10
Estero, FL 33928-3208 - Phone
- (239) 498-5170
- NPI assigned
- Aug 1, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT21868 | FL | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT21868 | FL | Yes |
Addresses
Primary practice location
9250 Corkscrew Rd
Suite 10
Estero, FL 33928-3208
Mailing address
9250 Corkscrew Rd
Suite 10
Estero, FL 33928-3208
Other providers in Estero, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.