Allyson Elaine Carter

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

4059148 Issued in TX

Practice address

2808 S Main St Ste C
Lindale, TX 75771-7854

Phone

(903) 780-3505

NPI assigned

Jun 4, 2019

Last updated

Jun 4, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559606400000",
    "number": "1720646755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 BEARWOOD LN",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757038101",
            "telephone_number": "903-954-0412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808 S MAIN ST STE C",
            "city": "LINDALE",
            "state": "TX",
            "postal_code": "757717854",
            "telephone_number": "903-780-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "ALLYSON",
        "middle_name": "ELAINE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-04",
        "last_updated": "2019-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "4059148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonnie Rose Bury-Blattman, LPC
• Latoya N Bush
• Kimberly Elaine Butler, RN
• Cannery Pharmacy Services LLC
• Cannery Pharmacy Services LLC
• Haley Castillo
• Lindsay Chamberlain, LPC
• Champagne House
• Champagne Incorporated
• Champagne, Inc. (Jeffries House)

• Physical Therapy Assistant in Lindale, TX
• Providers in Lindale, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; 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.