Justin Carson, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2153497 Issued in TX

Practice address

201 Seagrass Dr
Panama City, FL 32407-2597

Phone

(850) 749-5358

NPI assigned

Apr 14, 2022

Last updated

Apr 14, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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": "1649894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1629711056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 MONTANA AVE",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324441265",
            "telephone_number": "817-879-1385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 SEAGRASS DR",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324072597",
            "telephone_number": "850-749-5358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARSON",
        "first_name": "JUSTIN",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-14",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2153497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lashicca Carmichael
• Mary Jansson Carmon, NP
• Christy Carpenter, LMHC
• Kathy Carroll, ARNP
• Cathryn Carson, MS, RMHCI
• Abigail Carter
• Kelly Duane Carter, M.D.
• Linda S Caruso, ARNP-C
• Kelly Carver, D.O.
• Robert Clifton Case IV, DMD

• Physical Therapy Assistant in Panama City, FL
• Providers in Panama City, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; 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.