Individual provider Active NPI

Noelle Kaitlyn Carriger, PT, DPT

  • Physical Therapist
  • Coppell, TX
National Provider Identifier
1689346637
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
301002 Issued in CA
Practice address
3100 Olympus Blvd Ste 500
Coppell, TX 75019-5473
Phone
(877) 456-2867
NPI assigned
Sep 29, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 301002 CA Primary

Addresses

Primary practice location

3100 Olympus Blvd Ste 500
Coppell, TX 75019-5473

Mailing address

4919 Scott St
Torrance, CA 90503-5349
Phone (310) 294-4206

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230112002859 TN Practitioner - Physical Therapist in Private Practice 6406227297 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Sports Medicine and Orthopaedic Center PLCGroup PAC ID 8729009634, 90 clinicians

Practice addresses (Care Compare)

2004 Hayes St
Suite 200
Nashville, TN 37203-2689
Phone (615) 324-1600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
301002CAMDPhysical Therapist
13963TNMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Sports Medicine and Orthopaedic Center, PLC CurrentSince Dec 27, 2022 Accepting new patients
Elite Sports Medicine and Orthopaedic Center, PLC CurrentSince Dec 27, 2022 Accepting new patients

Locations

2004 Hayes St
Ste 200
Nashville, TN 37203
Phone (615) 284-2000

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1632873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1689346637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4919 SCOTT ST",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905035349",
            "telephone_number": "310-294-4206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 OLYMPUS BLVD STE 500",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750195473",
            "telephone_number": "877-456-2867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRIGER",
        "first_name": "NOELLE",
        "middle_name": "KAITLYN",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-29",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "301002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coppell, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.