Karla Marie Waters, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2005031070 Issued in MO

Practice address

504 Santa Fe St
Carrollton, MO 64633-1418

Phone

(660) 322-2645

NPI assigned

Mar 18, 2021

Last updated

Mar 23, 2021By the provider in NPPES

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 names 1

• Karla Dooly 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": "1616025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1952987299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 SANTA FE ST",
            "city": "CARROLLTON",
            "state": "MO",
            "postal_code": "646331418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 SANTA FE ST",
            "city": "CARROLLTON",
            "state": "MO",
            "postal_code": "646331418",
            "telephone_number": "660-322-2645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERS",
        "first_name": "KARLA",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-18",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "2005031070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARLA",
            "last_name": "DOOLY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lashawna Staton
• Debra Lorene Stedem, FNP-BC
• Tara Lyrae Swan, APN
• United Investors LP (Life Care Center of Carrollton)
• Tori D Waggoner, PHARMD

• Physical Therapy Assistant in Carrollton, MO
• Providers in Carrollton, MO by specialty
• Physical Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.