Individual provider Active NPI

Carol Sue Letner, D.P.T.

  • Physical Therapist
  • Kingman, AZ
National Provider Identifier
1861443236
Registry record updated Oct 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
LPT30030 Issued in AZ
Practice address
4165 N Bank St Ste a
Kingman, AZ 86409-2725
Phone
(928) 351-7651
NPI assigned
May 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X LPT30030 AZ Primary

Addresses

Primary practice location

4165 N Bank St Ste a
Kingman, AZ 86409-2725

Mailing address

4290 E Tomahawk Dr
Kingman, AZ 86401-7502
Phone (847) 571-4313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231127000189 AZ Practitioner - Physical Therapist in Private Practice 0446269781 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inspire Rehabilitation and Wellness LLCGroup PAC ID 0244688653, 2 clinicians

Practice addresses (Care Compare)

4165 N Bank St
Kingman, AZ 86409-2725
Phone (928) 351-7651

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPT30030AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Inspire Rehabilitation and Wellness LLC Physical Therapist CurrentSince Sep 22, 2023 Accepting new patients

Locations

4165 N Bank St
Kingman, AZ 86409
Phone (928) 351-7651

4165 N Bank St
Ste A
Kingman, AZ 86409
Phone (928) 351-7651

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697932800000",
    "number": "1861443236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4290 E TOMAHAWK DR",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864017502",
            "telephone_number": "847-571-4313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4165 N BANK ST STE A",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864092725",
            "telephone_number": "928-351-7651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LETNER",
        "first_name": "CAROL",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2023-10-22",
        "certification_date": "2023-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT30030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingman, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2023; 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.

Verify at the official NPI Registry.