Carolyn Chamblin, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2151295 Issued in TX

Practice address

540 I-45 South
Suite B
Huntsville, TX 77807-8473

Phone

(936) 295-1777

NPI assigned

Apr 13, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Carolyn Lyons Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1902292287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 I-45 SOUTH",
            "address_2": "SUITE B",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "778078473",
            "telephone_number": "936-295-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 I-45 SOUTH",
            "address_2": "SUITE B",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "778078473",
            "telephone_number": "936-295-1777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 Hale St",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "OH",
            "postal_code": "451772104",
            "country_code": "US",
            "telephone_number": "937-382-0667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAMBLIN",
        "first_name": "CAROLYN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-13",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "PTA.09072",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AZ",
            "license": "PTA-013942",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2151295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "LYONS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kristy Dawn Carroll, FNP
• Rhonda Castiglione
• Siria Marina Castro, MS, LPC, LCDC, ASOTP
• Marijo Cathey
• Elida Librada Cervantes, DPM
• Brandy Chaney
• Shao-Jen Chang, M.D.
• Charles W. Monday, Jr., M.D., P.a.
• Amaka Chinedo
• Christopher J. Wright, MD, PA

• Physical Therapy Assistant in Huntsville, TX
• Providers in Huntsville, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; 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.