Active NPI
Carla Joan Prefontaine, PT, DPT
- Physical Therapist
- Matthews, NC
National Provider Identifier
1649564691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10675
- Practice address
- 10043 Idlewild Rd
Matthews, NC 28105-2013 - Phone
- (704) 545-0009
- NPI assigned
- Jun 7, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 10675 | NC | Primary |
Addresses
Primary practice location
10043 Idlewild Rd
Matthews, NC 28105-2013
Mailing address
10043 Idlewild Rd
Matthews, NC 28105-2013
Phone (704) 545-0009
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307404800000",
"number": "1649564691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10043 IDLEWILD RD",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281052013",
"telephone_number": "704-545-0009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10043 IDLEWILD RD",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281052013",
"telephone_number": "704-545-0009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PREFONTAINE",
"first_name": "CARLA",
"middle_name": "JOAN",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-07",
"last_updated": "2011-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "10675",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Matthews, NC
- Deborah Pradhan
- Michael Scott Prasse
- Precision Community Services, LLC
- Precision Community Services, LLC.
- Preeminent Home Care LLC
- Presbyterian Imaging Centers LLC (Novant Health Imaging Matthews)
- Presbyterian Medical Care Corp (Presbyterian Urgent Care)
- Presbyterian Medical Care Corp (Novant Health Matthews Medical Center)
- James Allen Pressly, MD
- Prettylrg Enterprises, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.