Active NPI
Carly Lanier, PT, DPT
- Physical Therapist
- Buford, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT015442
- Practice address
- 3919 Carter Rd # a
Buford, GA 30518-1628 - Phone
- (470) 589-1058
- NPI assigned
- Aug 11, 2021
- Last updated
- Jan 24, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT015442 | GA | Primary |
| Physical Therapist | 225100000X | 65298 | OR |
Addresses
Primary practice location
3919 Carter Rd # a
Buford, GA 30518-1628
Mailing address
1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 497-0005
Other practice location 1
3100 Olympus Blvd Ste 500
Coppell, TX 75019-5473
Phone (866) 221-5405 ext. 4445
Other practice location 2
10517 Braddock Rd Ste D
Fairfax, VA 22032-2275
Phone (571) 351-5618
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA, OR
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1195 S Main St
Lebanon, OR 97355-3217
Phone (650) 235-0545
170 W Ellendale Ave
Suite 101
Dallas, OR 97338-1456
Phone (503) 420-4287
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT015442 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benchmark Physical Therapy of Or, LLC | Physical Therapist | Current | Accepting new patients |
| Lebanon Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Jackson Clinics Limited Partnership | Physical Therapist | Current | Accepting new patients |
| Benchmark Physical Therapy of Oregon LLC | Physical Therapist | Current | Accepting new patients |
| The Jackson Clinics LLC | Physical Therapist | Past | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
170 W Ellendale Ave
Ste 101
Dallas, OR 97338
Phone (503) 420-4287
1195 S Main St
Lebanon, OR 97355
Phone (541) 401-6500
3007 NE West Devils Lake Rd
Lincoln City, OR 97367
Phone (541) 994-6252
3512 Excel Dr
Ste 105
Medford, OR 97504
Phone (541) 245-0419
43490 Yukon Dr
Ashburn, VA 20147
Phone (703) 729-7920
10517 Braddock Rd
Ste D
Fairfax, VA 22032
Phone (571) 351-5618
12701 Fair Lakes Cir
Ste 102
Fairfax, VA 22033
8140 Ashton Ave
Ste 104
Manassas, VA 20109
Phone (703) 257-3333
Organizations & group practices 5
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.
-
- Physical Therapist
- Grants Pass, OR
- NPI 1801257191
-
- Physical Therapist
- Lebanon, OR
- NPI 1598539017
-
- Physical Therapist
- Roseburg, OR
- NPI 1427524388
-
- Physical Therapist
- Middleburg, VA
- NPI 1427034982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737676800000",
"number": "1619642600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CORPORATE DR STE 400",
"city": "HOOVER",
"state": "AL",
"postal_code": "352425424",
"telephone_number": "423-497-0005",
"fax_number": "571-370-3687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3919 CARTER RD # A",
"city": "BUFORD",
"state": "GA",
"postal_code": "305181628",
"telephone_number": "470-589-1058"
}
],
"practiceLocations": [
{
"address_1": "3100 Olympus Blvd Ste 500",
"address_purpose": "LOCATION",
"city": "Coppell",
"state": "TX",
"postal_code": "750195473",
"country_code": "US",
"telephone_number": "866-221-5405 x4445",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10517 Braddock Rd Ste D",
"address_purpose": "LOCATION",
"city": "Fairfax",
"state": "VA",
"postal_code": "220322275",
"country_code": "US",
"telephone_number": "571-351-5618",
"fax_number": "571-351-5618",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LANIER",
"first_name": "CARLY",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-11",
"last_updated": "2025-01-24",
"certification_date": "2025-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT015442",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "65298",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buford, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; 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.