Eric Carter, PTA
Individual provider Active NPI Physical Therapy Assistant · Bettendorf, IA
NPI 1740997154 · NPPES record last updated Nov 4, 2022
Key facts
- NPI
- 1740997154
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 115190 (IA)
- Practice address
- 3150 Glenbrook Circle South
Bettendorf, IA 52722 - Phone
- (563) 293-2050
- NPI assigned
- Nov 4, 2022
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 115190 | IA | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 115190 | IA | Yes |
Addresses
Primary practice location
3150 Glenbrook Circle South
Bettendorf, IA 52722
Mailing address
1828 E 32ND St
Davenport, IA 52807-2008
Phone (520) 390-7566
Other providers in Bettendorf, IA
- Caring Crossroads Home Care
- Clayton Carius
- Brandon Lee Carle
- Mark Carlson
- Darcie Carlton
- Carter'S Counseling Services, PLC
- Chance W Cary
- Diane Marie Cassatt
- Charles T Cassel
- Janey Castoe
All providers in Bettendorf, IA · Physical Therapy Assistant in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.