Provider Demographics
NPI:1972133775
Name:CARTER PHYSIOTHERAPY PLLC
Entity Type:Organization
Organization Name:CARTER PHYSIOTHERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JAROD
Authorized Official - Middle Name:BENJAMIN
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT, MTC
Authorized Official - Phone:512-693-8849
Mailing Address - Street 1:3939 BEE CAVES ROAD
Mailing Address - Street 2:BUILDING A, SUITE 200
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-6431
Mailing Address - Country:US
Mailing Address - Phone:512-693-8849
Mailing Address - Fax:888-393-6601
Practice Address - Street 1:3939 BEE CAVES ROAD
Practice Address - Street 2:BUILDING A, SUITE 200
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-6431
Practice Address - Country:US
Practice Address - Phone:512-693-8849
Practice Address - Fax:888-393-6601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-21
Last Update Date:2020-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty