Natalie Carroll, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA-014019 Issued in AZ

Practice address

1684 E White Mountain Blvd Ste B
Pinetop, AZ 85935-5015

Phone

(928) 537-2678

NPI assigned

Nov 18, 2021

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Alpha and Omega Physical Therapy Acc

  • Physical Therapist
  • Show Low, AZ
  • NPI 1245202456
  NPD (past)

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

{
    "created_epoch": "1637193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1811654478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 457",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859020457",
            "telephone_number": "928-537-2678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1684 E WHITE MOUNTAIN BLVD STE B",
            "city": "PINETOP",
            "state": "AZ",
            "postal_code": "859355015",
            "telephone_number": "928-537-2678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "NATALIE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-18",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AZ",
            "license": "PTA-014019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blue Ridge Family Dentistry, PC
• Richard Albert Boatright, DC
• Bruce Jackson Bryan, MD
• Brooke Lynn Butler, M.S., CCC-SLP
• Carl Peiser, D.D.S.
• Changepoint Integrated Health (Woodland Home)
• Code Calm Counseling PLLC
• Joan Michelle Cordero Diaz, LMSW
• Maynard Davenport, D.D.S.
• Walter J Denham, DMD

• Physical Therapy Assistant in Pinetop, AZ
• Providers in Pinetop, AZ by specialty
• Physical Therapy Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.