Active NPI
Duane Carpenter
- Physical Therapist
- Lowville, NY
National Provider Identifier
1619796943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 044589
- Practice address
- 7785 N State St
Lowville, NY 13367-1229 - Phone
- (315) 376-5200
- NPI assigned
- Oct 3, 2024
- Last updated
- Feb 11, 2025
- Sex
- Male
- 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 | 044589 | NY | Primary |
Addresses
Primary practice location
7785 N State St
Lowville, NY 13367-1229
Mailing address
11050 Mt Belvedere Blvd
Fort Drum, NY 13602-2603
Phone (315) 774-1479
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 044589 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739232000000",
"number": "1619796943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11050 MT BELVEDERE BLVD",
"city": "FORT DRUM",
"state": "NY",
"postal_code": "136022603",
"telephone_number": "315-774-1479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7785 N STATE ST",
"city": "LOWVILLE",
"state": "NY",
"postal_code": "133671229",
"telephone_number": "315-376-5200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARPENTER",
"first_name": "DUANE",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-10-03",
"last_updated": "2025-02-11",
"certification_date": "2025-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "044589",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lowville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.