Carlie Combs

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05014610A Issued in IN

Practice address

173 Pacer Dr NW
Corydon, IN 47112-2144

Phone

(812) 734-1918

NPI assigned

Jun 27, 2022

Last updated

Jun 27, 2022By the provider in NPPES

Sex

Female

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

Enrolled in IN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

SN Kentuckiana Rehab, LLCGroup PAC ID 1254671464, 339 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• SN Kentuckiana Rehab, LLC

  dba KORT Physical Therapy

  • Rehabilitation Clinic/Center
  • Clarksville, IN
  • NPI 1295208684
  Medicare reassignment Care Compare group NPD
• SN Kentuckiana Rehab, LLC

  dba KORT Physical Therapy

  • Rehabilitation Clinic/Center
  • Charlestown, IN
  • NPI 1891360541
  NPD
• SN Kentuckiana Rehab, LLC

  dba KORT Physical Therapy

  • Rehabilitation Clinic/Center
  • Sellersburg, IN
  • NPI 1013558394
  NPD (past)
• SN Kentuckiana Rehab, LLC

  dba KORT Physical Therapy

  • Rehabilitation Clinic/Center
  • New Albany, IN
  • NPI 1366915761

  Physical Therapist

  NPD (past)
• SN Kentuckiana Rehab, LLC

  dba KORT Physical Therapy

  • Rehabilitation Clinic/Center
  • Georgetown, IN
  • NPI 1396218798
  NPD (past)

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

{
    "created_epoch": "1656288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1710619093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12005 EAGLE KNOLL DR",
            "city": "SELLERSBURG",
            "state": "IN",
            "postal_code": "471728607",
            "telephone_number": "812-725-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 PACER DR NW",
            "city": "CORYDON",
            "state": "IN",
            "postal_code": "471122144",
            "telephone_number": "812-734-1918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMBS",
        "first_name": "CARLIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-27",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05014610A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Faye Clunie, MD
• Scott D Cobel, M.D.
• Stefanie Ann Colavito, MD
• Michelle L Collins, CADAC 2, ADULT PSS
• Emily Ryan Colville, NP
• Constitution Elm Emergency Physicians LLC
• Coothbrush Inc
• Corydon Chiropractic Rehab & Wellness Center LLC
• Corydon Hearing Clinic LLC
• Corydon Optical Inc

• Physical Therapist in Corydon, IN
• Providers in Corydon, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; 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.