Individual provider Active NPI

Frederic Dean Carr, P.T.

  • Physical Therapist
  • Baytown, TX
National Provider Identifier
1861569089
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1020535 Issued in TX
Practice address
3818 Decker Dr
Baytown, TX 77520-1662
Phone
(281) 424-7557
Fax
(281) 424-7567
NPI assigned
Nov 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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 1020535 TX Primary

Addresses

Primary practice location

3818 Decker Dr
Baytown, TX 77520-1662

Mailing address

3003 Quincannon LN
Houston, TX 77043-1201
Phone (713) 562-2575

Other identifiers 4

IdentifierTypeStateIssuer
7615482OtherTXAETNA
8T1933OtherTXBLUE CROSS BLUE SHIELD
6362783OtherTXCIGNA
634192OtherTXFIRST HEALTHCCN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1020535TXMDPhysical Therapist
120535TXMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
PT Care Specialists LLC Physical Therapist CurrentSince Apr 1, 2021 Accepting new patients
Caba Therapy Services Physical Therapist Past Accepting new patients

Locations

26440 FM 1093 Rd
Ste A180
Richmond, TX 77406
Phone (281) 344-8900

1500 Jackson St
Ste 400
Richmond, TX 77469
Phone (281) 344-8900

Organizations & group practices 2

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": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1861569089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 QUINCANNON LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770431201",
            "telephone_number": "713-562-2575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3818 DECKER DR",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775201662",
            "telephone_number": "281-424-7557",
            "fax_number": "281-424-7567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "FREDERIC",
        "middle_name": "DEAN",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1020535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7615482",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8T1933",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6362783",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTHCCN",
            "identifier": "634192",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baytown, TX

Sources for this page

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