Active NPI
Teena Elizabeth Carroll, PTA
- Specialist
- Pensacola, FL
National Provider Identifier
1730198102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- PTA20577
- Practice address
- 8391 N Davis Hwy
Pensacola, FL 32514-6048 - Phone
- (850) 494-5403
- Fax
- (850) 494-4910
- NPI assigned
- Aug 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | PTA20577 | FL | Primary |
Addresses
Primary practice location
8391 N Davis Hwy
Pensacola, FL 32514-6048
Mailing address
8391 N Davis Hwy
Pensacola, FL 32514-6048
Phone (850) 494-5403
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PTA20577 | Other | FL | FLORIDA LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PTA20577 | FL | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220832000000",
"number": "1730198102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8391 N DAVIS HWY",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325146048",
"telephone_number": "850-494-5403",
"fax_number": "850-494-4910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8391 N DAVIS HWY",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325146048",
"telephone_number": "850-494-5403",
"fax_number": "850-494-4910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARROLL",
"first_name": "TEENA",
"middle_name": "ELIZABETH",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-05",
"last_updated": "2008-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "PTA20577",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA LICENSE",
"identifier": "PTA20577",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.