Jillian Carr, DPT
Individual provider Active NPI Physical Therapist · Rising Sun, MD
NPI 1467935304 · NPPES record last updated Sep 25, 2018
Key facts
- NPI
- 1467935304
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 27201 (MD)
- Practice address
- 52 Rising Sun Town Ctr
Rising Sun, MD 21911-1902 - Phone
- (410) 658-0100
- Fax
- (410) 658-0199
- NPI assigned
- Sep 6, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27201 | MD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mendocino Physical Therapy | Physical Therapist | Current |
Accepting new patients |
Locations
846 S Dora St
Ukiah, CA 95482
Phone (707) 462-9784
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | 27201 | MD | Yes |
Addresses
Primary practice location
52 Rising Sun Town Ctr
Rising Sun, MD 21911-1902
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2222
Other providers in Rising Sun, MD
- Shawn Carroll Brennan
- Mackenzie Marie Brooks
- Judith Brown
- Calvert Manor Healthcare Center, Inc.
- Calvert Manor Healthcare Center, LLC
- Melissa Marie Catalano
- Ashley Cheree Cena
- Chesapeake Behavioral Health, LLC
- Chesapeake Integrative Mental Health and Addictions Treatment, Inc.
- Chesapeake Psychiatric Services, L.L.C.
All providers in Rising Sun, MD · Physical Therapist in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.