Carolyn N Parrack, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

001717 Issued in KY

Practice address

4042 Dutchmans LN
Louisville, KY 40207-4712

Phone

(502) 899-9363

Fax

(502) 899-9365

NPI assigned

Oct 4, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273622400000",
    "number": "1952398968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4042 DUTCHMANS LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074712",
            "telephone_number": "502-899-9363",
            "fax_number": "502-899-9365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4042 DUTCHMANS LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074712",
            "telephone_number": "502-899-9363",
            "fax_number": "502-899-9365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARRACK",
        "first_name": "CAROLYN",
        "middle_name": "N",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-04",
        "last_updated": "2010-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "001717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000230405",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Parkwood SNF Operations LLC
• Amanda Parman, PHARMD
• Parmiss Corp
• Kimberly Ann Parnell, RN
• David Louis Parr, MD
• Amber Parrilla
• Hazel Dell Parrish, LCADC
• Mark A Parrish, M.ED., LMFT
• Rebecca A Parrish, APRN
• Rena Elise Parrish

• Physical Therapist in Louisville, KY
• Providers in Louisville, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2010; 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.