Active NPI
Jessica Lauren Carter, MSPT
- Physical Therapist
- Carmel, IN
National Provider Identifier
1790915940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0400047331
- Practice address
- 14901 Carey Rd
Carmel, IN 46033-6000 - Phone
- (877) 407-3422
- NPI assigned
- Jul 22, 2009
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 0400047331 | VT | Primary |
Addresses
Primary practice location
14901 Carey Rd
Carmel, IN 46033-6000
Mailing address
21 Essex Way
Suite 116
Essex Junction, VT 05452-3385
Phone (802) 879-8300
Other practice location 1
21 Essex Way
Suite 116
Essex Junction, VT 05452-3385
Phone (802) 879-8300
Other names 1
- Miss Jessica Lauren Hubband
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler | Other | Fox Rehab Indiana LLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0400047331 | VT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehab Indiana LLC | Physical Therapist | Current | Accepting new patients |
Locations
14901 Carey Rd
Carmel, IN 46033
7 Carnegie Plz
Cherry Hill, NJ 08003
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734998400000",
"number": "1790915940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 ESSEX WAY",
"address_2": "SUITE 116",
"city": "ESSEX JUNCTION",
"state": "VT",
"postal_code": "054523385",
"telephone_number": "802-879-8300",
"fax_number": "802-879-9300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14901 CAREY RD",
"city": "CARMEL",
"state": "IN",
"postal_code": "460336000",
"telephone_number": "877-407-3422"
}
],
"practiceLocations": [
{
"address_1": "21 Essex Way",
"address_2": "Suite 116",
"address_purpose": "LOCATION",
"city": "Essex Junction",
"state": "VT",
"postal_code": "054523385",
"country_code": "US",
"telephone_number": "802-879-8300",
"fax_number": "802-879-9300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARTER",
"first_name": "JESSICA",
"middle_name": "LAUREN",
"name_prefix": "Mrs.",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-22",
"last_updated": "2024-12-24",
"certification_date": "2024-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VT",
"license": "0400047331",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
"affiliationName": "Fox Rehab Indiana LLC",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "14901 Carey Rd",
"city": "Carmel",
"state": "IN",
"country_code": "US",
"postal_code": "460336000",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "HUBBAND",
"middle_name": "LAUREN",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Carmel, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.