Lynn Carsten, MPT
Individual provider Active NPI Physical Medicine & Rehabilitation Physician · Crownpoint, NM
NPI 1811631872 · NPPES record last updated Apr 26, 2022
Key facts
- NPI
- 1811631872
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Medicine & Rehabilitation Physician 208100000X
- License
- 2305206552 (VA)
- Practice address
- Junction of Hwy 371 and RT 9
Crownpoint, NM 87313 - Phone
- (505) 786-5291
- NPI assigned
- Apr 26, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220613000099 | TX | Practitioner - Physical Therapist in Private Practice | 9537547070 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305206552 | VA | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pueblo Pintado Clinic | Current |
Accepting new patients | |
| DHHS PHS Naihs Crownpoint Hospital | Current | Accepting new patients | |
| Thoreau Clinic | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 2305206552 | VA | Yes |
Addresses
Primary practice location
Junction of Hwy 371 and RT 9
Crownpoint, NM 87313
Mailing address
1506 Kit Carson Dr
Gallup, NM 87301-5914
Phone (301) 221-8334
Other providers in Crownpoint, NM
- Dustin Begay
- Le Vonne K Biakeddy
- Antoine Bondima
- Jonathan Calder
- Karen Deneen Carlisle
- Meghan Casey
- Vicky Charley
- Jay Janghee Cho
- Andrew Clemes
- Emily Craine
All providers in Crownpoint, NM · Physical Medicine & Rehabilitation Physician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 26, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.