Individual provider Active NPI

Carla Beckton, PT, DPT

  • Physical Therapist
  • Orlando, FL
National Provider Identifier
1467116772
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT38803 Issued in FL
Practice address
11543 Lake Underhill Rd
Orlando, FL 32825-5001
Phone
(407) 380-0357
Fax
(407) 380-0342
NPI assigned
Oct 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT38803 FL Primary

Addresses

Primary practice location

11543 Lake Underhill Rd
Orlando, FL 32825-5001

Mailing address

336 Broad St Ste 203
Rome, GA 30161-3006
Phone (407) 380-0357

Other names 1

  • Carla Ortiz Alvarez Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211129001080 NE Practitioner - Physical Therapist in Private Practice 1658761051 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT38803FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Rehab LLC Physical Therapist CurrentSince Nov 1, 2021 Accepting new patients
Ability Health Services and Rehabilitation LP Past Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

410 E 22nd St
Fremont, NE 68025
Phone (402) 721-3908

4110 S 144th St
Omaha, NE 68137
Phone (402) 861-6683

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 2

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": "1635120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1467116772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 BROAD ST STE 203",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301613006",
            "telephone_number": "407-380-0357",
            "fax_number": "407-380-0342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11543 LAKE UNDERHILL RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328255001",
            "telephone_number": "407-380-0357",
            "fax_number": "407-380-0342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKTON",
        "first_name": "CARLA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-25",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT38803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLA",
            "last_name": "ORTIZ ALVAREZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; 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.