Christopher Carroll, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 6108 Issued in FL

Practice address

9119 Shadow Glen Way
Fort Myers, FL 33913-6602

Phone

(239) 225-9125

Fax

(239) 225-9127

NPI assigned

Mar 28, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Paragon Outpatient Rehabilitation Services, LLC

  dba Synchrony Rehabilitation

  • Rehabilitation Clinic/Center
  • Louisville, KY
  • NPI 1871867325

  Physical Therapist, SC

  Medicare reassignment NPD
• Therapy First LLC

  • Rehabilitation Clinic/Center
  • Fort Myers, FL
  • NPI 1861696627

  Physical Therapist

  NPD (past) Authorized official
• Paragon Outpatient Rehabilitation Services, LLC

  dba Synchrony Rehab

  • Rehabilitation Clinic/Center
  • Roxboro, NC
  • NPI 1245014380
  NPD
• Rehab Partners, P.C.

  • Physical Therapy Clinic/Center
  • Gadsden, AL
  • NPI 1750383998
  NPD (past)

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598884215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9119 SHADOW GLEN WAY",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339136602",
            "telephone_number": "239-225-9125",
            "fax_number": "239-225-9127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9119 SHADOW GLEN WAY",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339136602",
            "telephone_number": "239-225-9125",
            "fax_number": "239-225-9127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "CHRISTOPHER",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 6108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lourdes Carrero-Ruiz, M.D.
• Sarah Neli Carrillo
• Francis Carro Cruz
• Angela Carroll, P.T.A.
• Barbara J Carroll, CNM
• Destiny Carroll, PHARMD
• Lori D Carroll, LCSW
• Ta'Jariyah Carroll
• Michael J Carron, MD
• Myriam Angelica Carrucini

• Physical Therapist in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Physical Therapist in Florida

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.