Cory Brendon Carr, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2001016929 Issued in MO

Practice address

1602 E Republic Rd
Springfield, MO 65804-6509

Phone

(417) 766-6037

Fax

(417) 865-4860

NPI assigned

Jul 31, 2008

Sex

Male

Sole proprietor

Yes

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 MO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Carr Athletic Performance & Physical Therapy, LLC

  • Physical Therapist
  • Springfield, MO
  • NPI 1225263304
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351209600000",
    "number": "1881850782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2733 E BATTLEFIELD ST",
            "address_2": "#205",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658043981",
            "telephone_number": "417-766-6037",
            "fax_number": "417-865-4860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 E REPUBLIC RD",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658046509",
            "telephone_number": "417-766-6037",
            "fax_number": "417-865-4860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "CORY",
        "middle_name": "BRENDON",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-31",
        "last_updated": "2012-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2001016929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ken J. Carpenter, M.D.
• Lindsey A Carpentier
• Carr Athletic Performance & Physical Therapy, LLC
• Amanda Carr, LPC
• Casey Carr, OD
• David Dorohoff Carr, D.O.
• Leslie Carr, DPT
• Vanna Lynn Carr, PA-C
• Eric Carranza, DDS
• Brenda A Carrell, O.D.

• Physical Therapist in Springfield, MO
• Providers in Springfield, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; 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.