Rickey Dale Carrow, ORTHOTIST

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

License

CO003664 Issued in DE

Practice address

168 Jefferson Rd.
Pinetown, NC 27865-9463

Phone

(252) 927-2088

Fax

(252) 927-2088

NPI assigned

Mar 6, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Mr. Rickey Dale Carrow Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1447420385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 JEFFERSON RD.",
            "city": "PINETOWN",
            "state": "NC",
            "postal_code": "278659463",
            "telephone_number": "252-927-2088",
            "fax_number": "252-927-2088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 JEFFERSON RD.",
            "city": "PINETOWN",
            "state": "NC",
            "postal_code": "278659463",
            "telephone_number": "252-927-2088",
            "fax_number": "252-927-2088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROW",
        "first_name": "RICKEY",
        "middle_name": "DALE",
        "name_prefix": "Mr.",
        "credential": "ORTHOTIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-06",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "DE",
            "license": "CO003664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RICKEY",
            "last_name": "CARROW",
            "middle_name": "DALE",
            "prefix": "MR.",
            "credential": "ORTHOTIST",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Prosthetics Case Management in Pinetown, NC
• Providers in Pinetown, NC by specialty
• Prosthetics Case Management in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; 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.