Provider Demographics
NPI:1356417042
Name:CARTERET PHYSICAL THERAPY ASSOCIATES INC
Entity type:Organization
Organization Name:CARTERET PHYSICAL THERAPY ASSOCIATES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT OF ADMINISTRATION
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHELLY
Authorized Official - Middle Name:L
Authorized Official - Last Name:STEARNS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-481-4597
Mailing Address - Street 1:3700 SYMI CIRCLE
Mailing Address - Street 2:
Mailing Address - City:MOREHEAD CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28557
Mailing Address - Country:US
Mailing Address - Phone:252-247-2738
Mailing Address - Fax:252-240-3882
Practice Address - Street 1:3700 SYMI CIRCLE
Practice Address - Street 2:
Practice Address - City:MOREHEAD CITY
Practice Address - State:NC
Practice Address - Zip Code:28557
Practice Address - Country:US
Practice Address - Phone:252-247-2738
Practice Address - Fax:252-240-3882
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARTERET PHYSICAL THERAPY ASSOCIATES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-11-27
Last Update Date:2008-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC07773OtherBCBS GROUP NUMBER
NC07773OtherBCBS
NC07773OtherBCBS