Patrick Carroll
Physical Therapist in Auburn, AL. Individual provider (NPI-1).
NPI number1053894733
StatusActive
Last updated in NPPESMar 30, 2021
Details
- NPI
- 1053894733
- Entity type
- Individual (NPI-1)
- Name
- Patrick Carroll
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 10, 2018
- Certification date
- Mar 30, 2021
- Last updated
- Mar 30, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PTH9014 | AL | Yes |
Practice location
1530 E Glenn Ave Ste CAuburn, AL 36830-5730
Phone 334-502-7839
Mailing address
2823 Greystone Comm BlvdBirmingham, AL 35242
Phone 205-745-3660 · Fax 205-745-3649
Other practice locations
1944 Canyon Rd Ste 100
Vestavia Hills, AL 35216-1761
Vestavia Hills, AL 35216-1761
Phone 205-822-7607 · Fax 205-822-7614
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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