Active NPI
Carmon York
- Physical Therapist
- Shelbyville, TN
National Provider Identifier
1487700811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6472
- Practice address
- 920 Colloredo Blvd
Shelbyville, TN 37160-2779 - Phone
- (931) 684-3024
- Fax
- (931) 684-3066
- NPI assigned
- Jan 26, 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 | 6472 | TN | Primary |
Addresses
Primary practice location
920 Colloredo Blvd
Shelbyville, TN 37160-2779
Mailing address
920 Colloredo Blvd
Shelbyville, TN 37160-2779
Phone (931) 684-3024
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Omni Center, Inc. | Physical Therapist | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487700811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 COLLOREDO BLVD",
"city": "SHELBYVILLE",
"state": "TN",
"postal_code": "371602779",
"telephone_number": "931-684-3024",
"fax_number": "931-684-3066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 COLLOREDO BLVD",
"city": "SHELBYVILLE",
"state": "TN",
"postal_code": "371602779",
"telephone_number": "931-684-3024",
"fax_number": "931-684-3066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YORK",
"first_name": "CARMON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "6472",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shelbyville, TN
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.