Active NPI
Carmen Larae McDonald, P.T.
- Physical Therapist
- Greenville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2952
- Practice address
- 2430 Charles Blvd
Greenville, NC 27858-5924 - Phone
- (252) 215-9119
- Fax
- (252) 215-9121
- NPI assigned
- Oct 25, 2005
- 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 | 2952 | OK | Primary |
Addresses
Primary practice location
2430 Charles Blvd
Greenville, NC 27858-5924
Mailing address
PO Box 4065
Greenville, NC 27836-2065
Phone (252) 215-9119
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2430 Charles Blvd
Greenville, NC 27858-5924
Phone (252) 215-9119
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2952 | OK | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greenville Physical Therapy and Associates, Inc | Physical Therapist | Current | Accepting new patients |
| Socal Rehab Associates Inc | Physical Therapist | Current | Accepting new patients |
| H2 Health Oklahoma Outpatient Clinics LLC | Physical Therapist | Past | Accepting new patients |
Locations
3908 10th St
Riverside, CA 92501
Phone (909) 274-7744
2430 Charles Blvd
Greenville, NC 27858
Phone (252) 215-9119
Organizations & group practices 3
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.
-
- Physical Therapist
- Greenville, NC
- NPI 1992982276
-
dba Brockton Physical Therapy
- Physical Therapist
- Riverside, CA
- NPI 1780662718
-
dba H2 Health
- Physical Therapist
- Oklahoma City, OK
- NPI 1982683306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558569600000",
"number": "1811987498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4065",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278362065",
"telephone_number": "252-215-9119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2430 CHARLES BLVD",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278585924",
"telephone_number": "252-215-9119",
"fax_number": "252-215-9121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "CARMEN",
"middle_name": "LARAE",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-25",
"last_updated": "2019-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "2952",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; 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.