Individual provider Active NPI

David M Carr, PT, ECS

  • Clinical Electrophysiology Physical Therapist
  • Mount Sterling, KY
National Provider Identifier
1447201819
Registry record updated Mar 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Electrophysiology Physical TherapistTaxonomy code 2251E1300X
License
ABPTS #4356 Issued in KY
Practice address
624 Maysville Rd
Mount Sterling, KY 40353-9767
Phone
(859) 585-5105
Fax
(859) 498-8677
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X KY001459 KY
Clinical Electrophysiology Physical Therapist 2251E1300X ABPTS #4356 KY Primary

Addresses

Primary practice location

624 Maysville Rd
Mount Sterling, KY 40353-9767

Mailing address

318 W High St
Mount Sterling, KY 40353-1328
Phone (859) 585-5105

Other identifiers 1

IdentifierTypeStateIssuer
87000279MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040514000488 KY Practitioner - Physical Therapist in Private Practice 9739179490 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
KY001459KYMDPhysical Therapist
ABPTS #4356KYMDClinical Electrophysiology Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sterling Physical Therapy & Associates PSC Physical Therapist CurrentSince May 9, 2023 Accepting new patients

Locations

209 Evans Ave
Mt Sterling, KY 40353
Phone (859) 498-0011

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394668800000",
    "number": "1447201819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 W HIGH ST",
            "city": "MOUNT STERLING",
            "state": "KY",
            "postal_code": "403531328",
            "telephone_number": "859-585-5105",
            "fax_number": "859-498-8677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 MAYSVILLE RD",
            "city": "MOUNT STERLING",
            "state": "KY",
            "postal_code": "403539767",
            "telephone_number": "859-585-5105",
            "fax_number": "859-498-8677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "DAVID",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "PT, ECS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2014-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "KY001459",
            "primary": false
        },
        {
            "code": "2251E1300X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Electrophysiology, Clinical",
            "state": "KY",
            "license": "ABPTS #4356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "87000279",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Sterling, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2014; 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.

Verify at the official NPI Registry.