Michael Kevin Carroll, PTA, ATC

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA 20119 Issued in FL

Practice address

9401 Fountain Medical CT
Bonita Springs, FL 34135-4612

Phone

(239) 494-4241

NPI assigned

Aug 9, 2006

Last updated

Nov 1, 2007By the provider in NPPES

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)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Absolute Physical Therapy of Southwest Florida LLC

  • Physical Therapist
  • Bonita Springs, FL
  • NPI 1952492993
  NPD (past)

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193875200000",
    "number": "1992715999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28227 JENEVA WAY",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341358514",
            "telephone_number": "239-498-5170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9401 FOUNTAIN MEDICAL CT",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341354612",
            "telephone_number": "239-494-4241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "MICHAEL",
        "middle_name": "KEVIN",
        "name_prefix": "Mr.",
        "credential": "PTA, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA 20119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caring Zees LLC
• Barbara Carley Hulser, P.A.
• Carpathian Health and Wellness LLC
• Jessica Robertson Carr, M.A.
• Raymond Carrelle
• Jennifer Carter, L.M.T., N.M.T.
• Lindsey Caserio
• Casey Oral & Facial Surgical Arts LLC
• Gregory M Casey, DDS
• James Horace Cash Jr., BSBA, HAS, BC-HIS

• Physical Therapy Assistant in Bonita Springs, FL
• Providers in Bonita Springs, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; 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.