Active NPI
Carol Wakefield Pierce, P.T.
- Physical Therapist
- Englewood, FL
National Provider Identifier
1467667964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 225100000X
- Practice address
- 400 S Indiana Ave
Englewood, FL 34223-3752 - Phone
- (941) 474-0419
- NPI assigned
- May 10, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 225100000X | FL | Primary |
Addresses
Primary practice location
400 S Indiana Ave
Englewood, FL 34223-3752
Mailing address
6 Seaward Cir.
Englewood, FL 33946
Phone (941) 698-4078
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT12477 | Other | FL | STATE LICENSE NUMBWER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 225100000X | FL | MD | Physical Therapist |
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379980800000",
"number": "1467667964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 SEAWARD CIR.",
"city": "ENGLEWOOD",
"state": "FL",
"postal_code": "33946",
"telephone_number": "941-698-4078",
"fax_number": "941-698-4079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 S INDIANA AVE",
"city": "ENGLEWOOD",
"state": "FL",
"postal_code": "342233752",
"telephone_number": "941-474-0419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIERCE",
"first_name": "CAROL",
"middle_name": "WAKEFIELD",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-10",
"last_updated": "2013-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "225100000X",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBWER",
"identifier": "PT12477",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Englewood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.