Individual provider Active NPI

Carter Pallett, MS, AT, ATC

  • Athletic Trainer
  • Ann Arbor, MI
National Provider Identifier
1720497654
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
2601001483 Issued in MI
Practice address
1000 S State St
Ann Arbor, MI 48109-2201
Phone
(734) 615-0653
NPI assigned
Aug 5, 2014
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 1674 TN
Athletic Trainer 2255A2300X 2601001483 MI Primary

Addresses

Primary practice location

1000 S State St
Ann Arbor, MI 48109-2201

Mailing address

1000 S State St
Ann Arbor, MI 48109-2201
Phone (734) 615-0653

Other practice location 1

10375 N 24th St
Plainwell, MI 49080-8903
Phone (269) 998-2417

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2601001483MIMDAthletic Trainer
1674TNMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1407196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1720497654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 S STATE ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481092201",
            "telephone_number": "734-615-0653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S STATE ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481092201",
            "telephone_number": "734-615-0653"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10375 N 24th St",
            "address_purpose": "LOCATION",
            "city": "Plainwell",
            "state": "MI",
            "postal_code": "490808903",
            "country_code": "US",
            "telephone_number": "269-998-2417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALLETT",
        "first_name": "CARTER",
        "credential": "MS, AT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TN",
            "license": "1674",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": "2601001483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.