Carrie Herrmann, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT5030 Issued in AR

Practice address

3605 College Ave
Conway, AR 72034-7377

Phone

(501) 327-2235

NPI assigned

Sep 30, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

River Valley Therapy and Sports Medicine IncGroup PAC ID 1850294018, 31 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: direct@rivervalleytherapysports001russellvillear.compulinkdirect.com

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.

• River Valley Therapy & Sports Medicine Inc

  • Physical Therapist
  • Russellville, AR
  • NPI 1619925732
  Medicare reassignment Care Compare group NPD
• Maumelle Physical Therapy, Inc.

  dba McMaster Physical Therapy

  • Physical Therapist
  • Conway, AR
  • NPI 1487615779
  NPD

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

{
    "created_epoch": "1632960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1578235271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 W MAIN ST",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728012758",
            "telephone_number": "479-968-2525",
            "fax_number": "479-968-2538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3605 COLLEGE AVE",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720347377",
            "telephone_number": "501-327-2235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRMANN",
        "first_name": "CARRIE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-30",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT5030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "275978721",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON DOL",
            "identifier": "0444861",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Direct@RiverValleyTherapySports001RussellvilleAR.CompulinkDirect.com",
            "affiliation": "Y",
            "affiliationName": "River Valley Therapy & Sports Medicine Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2100 W Main St",
            "city": "Russellville",
            "state": "AR",
            "country_code": "US",
            "postal_code": "728012758",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Roseanne Henson, RECOVERY ASSISTANT
• Kirsten Hepp
• Heritage Living Center, Inc.
• Gabrielle Ashtyn Hern
• Lyndsey Herring, OT
• Holly Ann Herzfeld-Van Dyke, RD,MS,LD,CDE
• Kaycee Hess, APRN
• Daniel Hester, M.D.
• Christopher T Heverling, LCSW
• Sarah Hickmon

• Physical Therapist in Conway, AR
• Providers in Conway, AR by specialty
• Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; 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.