Active NPI
Michael Wayne Carby, ATC
- Contractor
- Bowling Green, KY
National Provider Identifier
1750544003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- AT470
- Practice address
- 1777 Ashley Cir
Physical Therapy Department
Bowling Green, KY 42104-3339 - Phone
- (270) 793-0395
- Fax
- (270) 793-0765
- NPI assigned
- Jul 8, 2008
- Last updated
- Jul 8, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Contractor | 171W00000X | AT470 | KY | Primary |
Addresses
Primary practice location
1777 Ashley Cir
Physical Therapy Department
Bowling Green, KY 42104-3339
Mailing address
1777 Ashley Circle
Bowling Green, KY 42104-3339
Phone (270) 782-7800
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 |
|---|---|---|---|
| AT470 | KY | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215475200000",
"number": "1750544003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1777 ASHLEY CIRCLE",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421043339",
"telephone_number": "270-782-7800",
"fax_number": "270-782-3274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1777 ASHLEY CIR",
"address_2": "PHYSICAL THERAPY DEPARTMENT",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421043339",
"telephone_number": "270-793-0395",
"fax_number": "270-793-0765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARBY",
"first_name": "MICHAEL",
"middle_name": "WAYNE",
"name_prefix": "Mr.",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-08",
"last_updated": "2008-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "KY",
"license": "AT470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bowling Green, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.