Andrew Kenneth Carlson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT26809 Issued in FL

Practice address

24630 Sandhill Blvd
Unit 303
Punta Gorda, FL 33983-5229

Phone

(941) 255-7863

NPI assigned

Sep 15, 2011

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Physical Therapy on Demand Inc

  • Physical Therapist
  • Punta Gorda, FL
  • NPI 1639356009
  NPD (past)

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

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316044800000",
    "number": "1932481983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24630 SANDHILL BLVD",
            "address_2": "UNIT 303",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339835229",
            "telephone_number": "941-255-7863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24630 SANDHILL BLVD",
            "address_2": "UNIT 303",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339835229",
            "telephone_number": "941-255-7863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "ANDREW",
        "middle_name": "KENNETH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-15",
        "last_updated": "2011-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT26809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cardinal Courier Solutions LLC
• Care Institute LLC
• Careadvo LLC
• Carlisa Family Medical and Aesthetics LLC
• Laura Cara Carlisle
• Karisa M Carroll, MD
• Traci Carvalho, LMT
• Charlene Casey
• Randy Dale Casey, PT
• Stephanie Casey, PHYSICAL THERAPIST

• Physical Therapist in Punta Gorda, FL
• Providers in Punta Gorda, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; 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.