Individual provider Active NPI

Carly Posson, PTA

  • Physical Medicine & Rehabilitation Physician
  • Clearwater, FL
National Provider Identifier
1679188908
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
25763 Issued in FL
Practice address
2349 Sunset Point Rd
Clearwater, FL 33765-1456
Phone
(727) 656-2217
NPI assigned
Sep 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 25763 FL Primary

Addresses

Primary practice location

2349 Sunset Point Rd
Clearwater, FL 33765-1456

Mailing address

3617 Glenmac CT
Palm Harbor, FL 34684-4614
Phone (786) 897-4723

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Clearwater Health Information Exchange (HIE)

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

LicenseStateTypeSpecialty
25763FLMDPhysical Medicine & Rehabilitation Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1679188908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3617 GLENMAC CT",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346844614",
            "telephone_number": "786-897-4723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2349 SUNSET POINT RD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337651456",
            "telephone_number": "727-656-2217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POSSON",
        "first_name": "CARLY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-14",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "25763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Clearwater",
            "affiliation": "N",
            "endpointDescription": "Physical Therapy Services",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2349 Sunset Point Rd",
            "city": "Clearwater",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337651456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

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