Talley Dyan Thompson Carpenter, DPT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

PT33359 Issued in FL

Practice address

2828 S McCall Rd Ste 25
Englewood, FL 34224-9517

Phone

(941) 474-2700

Fax

(941) 447-4808

NPI assigned

Jun 6, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Talley Dyan Surrett Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528243200000",
    "number": "1437641297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3657 CORTEZ RD W STE 110",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342103171",
            "telephone_number": "941-474-2700",
            "fax_number": "941-474-8081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 S MCCALL RD STE 25",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342249517",
            "telephone_number": "941-474-2700",
            "fax_number": "941-447-4808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8588 Potter Park Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342385471",
            "country_code": "US",
            "telephone_number": "941-361-9020",
            "fax_number": "941-217-4038",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Tamiami Trl S Ste 210",
            "address_purpose": "LOCATION",
            "city": "Venice",
            "state": "FL",
            "postal_code": "342852626",
            "country_code": "US",
            "telephone_number": "941-483-3400",
            "fax_number": "941-483-3422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON CARPENTER",
        "first_name": "TALLEY",
        "middle_name": "DYAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-06",
        "last_updated": "2018-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "PT33359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TALLEY",
            "last_name": "SURRETT",
            "middle_name": "DYAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lawrence Alan Tarn, D.D.S.
• Kortni Taulbee, LCSW
• Pamela Taylor
• Shymaa Temraz, BS,PTA
• Patricia Testa
• Christine Schmidt Thompson, LCSW, SAC
• Tiffany Square Family Practice P a
• Mary Handley Todd
• Total Therapy Florida LLC
• Andrew Vinh Tran, DPT

• Physical Medicine & Rehabilitation Physician in Englewood, FL
• Providers in Englewood, FL by specialty
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; 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.