Individual provider Active NPI

Anne Davis Huffington-Carroll, M.P.T.

  • Orthopedic Physical Therapist
  • Portland, OR
National Provider Identifier
1467668418
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
4021 Issued in OR
Practice address
5420 NE Glisan St
Portland, OR 97213-3063
Phone
(503) 215-4033
Fax
(503) 238-4553
NPI assigned
May 15, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 4021 OR Primary

Addresses

Primary practice location

5420 NE Glisan St
Portland, OR 97213-3063

Mailing address

7062 NE Everett St
Portland, OR 97213-5632
Phone (503) 252-3975

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260414002964 OR Practitioner - Physical Therapist in Private Practice 0143796599 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Utah School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
H and P Goodell IncGroup PAC ID 1153340476, 8 clinicians

Practice addresses (Care Compare)

4475 SW Scholls Ferry Rd
Suite 258
Portland, OR 97225-1958
Phone (503) 292-5882

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4021ORMDOrthopedic Physical Therapist

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467668418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7062 NE EVERETT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972135632",
            "telephone_number": "503-252-3975",
            "fax_number": "503-238-4553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5420 NE GLISAN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972133063",
            "telephone_number": "503-215-4033",
            "fax_number": "503-238-4553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUFFINGTON-CARROLL",
        "first_name": "ANNE",
        "middle_name": "DAVIS",
        "credential": "M.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OR",
            "license": "4021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.