Active NPI
Carolyn Roberts, PHYSICAL THERAPIST
- Physical Therapist
- Wells, ME
National Provider Identifier
1992289862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT5235
- Practice address
- 112 Sanford Rd
Wells, ME 04090-5533 - Phone
- (207) 646-0373
- Fax
- (207) 646-0381
- NPI assigned
- Sep 18, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT5235 | ME | Primary |
Addresses
Primary practice location
112 Sanford Rd
Wells, ME 04090-5533
Mailing address
15 Hospital Drive
York, ME 03909-1011
Phone (207) 351-2478
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT5235 | Other | ME | PHYSICAL THERAPY LICENSE |
Other names 1
- Carolyn Barrows
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT5235 | ME | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649721600000",
"number": "1992289862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 HOSPITAL DRIVE",
"city": "YORK",
"state": "ME",
"postal_code": "039091011",
"telephone_number": "207-351-2478",
"fax_number": "207-351-2216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 SANFORD RD",
"city": "WELLS",
"state": "ME",
"postal_code": "040905533",
"telephone_number": "207-646-0373",
"fax_number": "207-646-0381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "CAROLYN",
"name_prefix": "Ms.",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-18",
"last_updated": "2022-04-12",
"certification_date": "2022-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ME",
"license": "PT5235",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY LICENSE",
"identifier": "PT5235",
"state": "ME"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CAROLYN",
"last_name": "BARROWS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Wells, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.