Pamela J Carpenter, PTA
Individual provider Active NPI Physical Therapy Assistant · Peyton, CO
NPI 1780122390 · NPPES record last updated Feb 2, 2017
Key facts
- NPI
- 1780122390
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- PTA.0012608 (CO)
- Practice address
- 7622 McLaughlin Rd
Peyton, CO 80831-4710 - Phone
- (719) 495-3133
- Fax
- (719) 495-8685
- NPI assigned
- Feb 2, 2017
- Sex
- Female
- 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 |
|---|---|---|---|
| PTA.0012608 | CO | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA.0012608 | CO | Yes |
Addresses
Primary practice location
7622 McLaughlin Rd
Peyton, CO 80831-4710
Mailing address
7622 McLaughlin Rd
Peyton, CO 80831-4710
Phone (719) 495-3133
NPI Registry JSON
{
"created_epoch": "1485993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485993600000",
"number": "1780122390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7622 MCLAUGHLIN RD",
"city": "PEYTON",
"state": "CO",
"postal_code": "808314710",
"telephone_number": "719-495-3133",
"fax_number": "719-495-8685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7622 MCLAUGHLIN RD",
"city": "PEYTON",
"state": "CO",
"postal_code": "808314710",
"telephone_number": "719-495-3133",
"fax_number": "719-495-8685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARPENTER",
"first_name": "PAMELA",
"middle_name": "J",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-02",
"last_updated": "2017-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CO",
"license": "PTA.0012608",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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All providers in Peyton, CO · Physical Therapy Assistant in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2017. 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.