Mary Charlotte Carpenter, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT015482 Issued in GA

Practice address

123 Canal St
Pooler, GA 31322-4103

Phone

(912) 988-1283

NPI assigned

Oct 4, 2022

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

Enrolled in SC, GA2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Cora South Carolina LLC

  • Physical Therapy Clinic/Center
  • Bluffton, SC
  • NPI 1164923355
  Medicare reassignment NPD
• Southeastern Swallowing Diagnostics

  • Health Service Clinic/Center
  • Ooltewah, TN
  • NPI 1205377348

  GA, Physical Therapist

  Medicare reassignment NPD
• Cora South Carolina LLC

  • Rehabilitation Clinic/Center
  • Hilton Head Island, SC
  • NPI 1295470755
  NPD
• Cora South Carolina LLC

  • Rehabilitation Clinic/Center
  • Fort Mill, SC
  • NPI 1356125207
  NPD

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

{
    "created_epoch": "1664841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1841914769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 BITTERROOT LN",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314199507",
            "telephone_number": "912-414-7804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 CANAL ST",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313224103",
            "telephone_number": "912-988-1283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "MARY",
        "middle_name": "CHARLOTTE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-04",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT015482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debbie Campolo, P.T.
• Candler Medical Group Inc - Glennville
• Marisa Cannon, RBT
• Caresouth HHA Holdings of South Carolina, LLC
• Carla G Stappenbeck DDS LLC
• Danielle Carter
• Teresa Carter, LPC
• Carters Pharmacy Inc
• Mariah Amia Cason
• Kayleigh Rockett Castellaw, M.S., CCC-SLP

• Physical Therapist in Pooler, GA
• Providers in Pooler, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; 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.

Verify at the official NPI Registry.