Carson Wade McGregory, DPT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

PTH10607 Issued in AL

Practice address

209 Fitness Way Ste D
Athens, AL 35611-2452

Phone

(256) 867-0100

NPI assigned

Nov 8, 2021

Sex

Male

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

Enrolled in AL, TN2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

P4 Physical Therapy Limited PartnershipGroup PAC ID 3779950647, 64 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• P4 Physical Therapy Limited Partnership

  • Physical Therapist
  • Knoxville, TN
  • NPI 1952039521

  TN

  Medicare reassignment Care Compare group NPD
• P4 Physical Therapy Limited Partnership

  • Physical Therapist
  • Winfield, AL
  • NPI 1568195386

  AL

  Medicare reassignment

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

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1760147466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8059 MITCHELL LN",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352166821",
            "telephone_number": "205-607-0632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 FITNESS WAY STE D",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356112452",
            "telephone_number": "256-867-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGREGORY",
        "first_name": "CARSON",
        "middle_name": "WADE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-08",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AL",
            "license": "PTH10607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loran Brooke McCormick, OTR/L
• Amber McDonald, CRNP
• Nancy D McDonald, LCSW
• Winston Locker McDonald, MA, ALC
• Scott McGee, MS, LPC
• Haley McInnis, BS
• MCMD LLC
• Courtney McNatt
• Morgan C McNeese
• Riley Llewellyn McRae, D.C.

• All providers in Athens, AL
• Physical Medicine & Rehabilitation Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.