Randolph Richard Carter III, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA29951 Issued in FL

Practice address

515 Chesapeake Dr
Tarpon Springs, FL 34689-2515

Phone

(727) 934-4629

NPI assigned

Apr 13, 2020

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": "1586736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586736000000",
    "number": "1669091237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 WIDEVIEW AVE",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346892338",
            "telephone_number": "813-802-2192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 CHESAPEAKE DR",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346892515",
            "telephone_number": "727-934-4629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "RANDOLPH",
        "middle_name": "RICHARD",
        "name_suffix": "III",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-13",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA29951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrington Acupuncture Inc.
• Andrew David Carson, P.A.
• Thomas E. Carson, M.D.
• Macarena Carter, LMHC
• Michelle K Carter, MA
• Center for Dynamic Healing, Inc
• Elyse Centonze, M.A. CCC/SLP
• Leah Centonze
• Elizabeth Cerpa, OT
• Catherine Sherrill Cervantes, AA

• Physical Therapy Assistant in Tarpon Springs, FL
• Providers in Tarpon Springs, 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 13, 2020; 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.