Cameron Butler Carpenter

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA11916 Issued in AL

Practice address

300 Hospital St
Moulton, AL 35650-1268

Phone

(256) 974-1146

NPI assigned

Sep 11, 2024

Last updated

Sep 11, 2024By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1726012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1609602028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 HIGHLAND DR",
            "city": "MOULTON",
            "state": "AL",
            "postal_code": "356504110",
            "telephone_number": "256-616-8658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HOSPITAL ST",
            "city": "MOULTON",
            "state": "AL",
            "postal_code": "356501268",
            "telephone_number": "256-974-1146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "CAMERON",
        "middle_name": "BUTLER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-11",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AL",
            "license": "PTA11916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Anne Burdette, LPTA
• Michelle Burleson
• Billi Nelson Byrd, BS
• Taraniio Antonio Byrd
• Tabitha Cahela, LPN
• Dana S Carpenter, LPTA
• Charles D Coffey MD PC
• Gene Kay Cheng, M.D.
• Siridao Laohasatit Cheng, M.D.
• Kelsey Leigh-Ann Clark, CRNP

• Physical Therapy Assistant in Moulton, AL
• Providers in Moulton, AL by specialty
• Physical Therapy Assistant in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.