BRETT TIMOTHY CARROLL (NPI# 1962929067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962929067 |
| Entity Type | Individual |
| Full Name | BRETT TIMOTHY CARROLL |
| Practice Address |
3310 Fall Hill Ave Fredericksburg VA 22401-3000 |
| Practice Telephone | (540) 479-4769 |
| Mailing Telephone | 5404794769 |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2017-08-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 2306604838 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | TAX ID | 204145631 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417405044 | Brett Lavar Carroll | Nurse Practitioner | 8 Th Ave & C Street E8, Salt Lake City, UT 84143-0001 | 2016-09-12 |
| 1740634112 | Brett Ann Carroll | Internal Medicine | 1 Hospital Plz, Stamford, CT 06902-3602 | 2016-04-21 |
| 1831472364 | Brett William Carroll | Pharmacist | 180 W Main St, Uniontown, PA 15401-5537 | 2011-09-21 |
| 1669768123 | Brett Joseph Carroll | Internal Medicine | 330 Brookline Ave, Boston, MA 02215-5400 | 2011-06-23 |
| Street Address |
3310 FALL HILL AVE |
| City | FREDERICKSBURG |
| State | VA |
| Zip Code | 22401-3000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063407161 | Meredith Gray Chappell | Physician Assistant | 3310 Fall Hill Ave, Fredericksburg, VA 22401-3000 | 2005-09-14 |
| 1619521861 | Kim Waters | Physician Assistant | 3310 Fall Hill Ave, Fredericksburg, VA 22401-3000 | 2019-07-26 |
| 1023661758 | Morgan Wood | Physical Therapy Assistant | 3310 Fall Hill Ave, Fredericksburg, VA 22401-3000 | 2019-07-22 |
| 1154883924 | Mary Washington Healthcare Physicians | Durable Medical Equipment & Medical Supplies | 3310 Fall Hill Ave, Fredericksburg, VA 22401-3000 | 2019-04-02 |
| 1982180394 | Sarah B Shaw | Physical Therapy Assistant | 3310 Fall Hill Ave, Fredericksburg, VA 22401-3000 | 2018-07-18 |
| 1902392350 | Amy Morgan Vardeman | Physician Assistant | 3310 Fall Hill Ave, Fredericksburg, VA 22401-3000 | 2018-07-09 |
| 1649782491 | Shay Vestal | Physical Therapist | 3310 Fall Hill Ave, Fredericksburg, VA 22401-3000 | 2017-11-02 |
| 1023560489 | Julie Saraceno | Physical Therapy Assistant | 3310 Fall Hill Ave, Fredericksburg, VA 22401-3000 | 2016-11-01 |
| 1427402049 | Sharon Walker | Physical Therapy Assistant | 3310 Fall Hill Ave, Fredericksburg, VA 22401-3000 | 2016-04-20 |
| 1477912590 | Sara Myers | Physical Therapy Assistant | 3310 Fall Hill Ave, Fredericksburg, VA 22401-3000 | 2016-02-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992313415 | Amanda Dodd | Behavior Technician | 1411 Princess Anne, Fredericksburg, VA 22401 | 2020-07-21 |
| 1215567326 | Britteny Whitaker | Behavior Technician | 1411 Princess Ann, Fredericksburg, VA 22401 | 2020-01-17 |
| 1396389433 | Ashley Stanevich | Behavior Technician | 1411 Princess Anne Lane, Fredericksburg, VA 22401 | 2019-11-01 |
| 1265074231 | Anna Kelleher | Behavior Technician | 1411 Princess Anna St, Frericksburg, VA 22401 | 2019-10-11 |
| 1649824152 | Zaan Z Ali | Audiologist | 1708 Fall Hill Ave Suite 100, Fredericksburg, VA 22401 | 2019-08-01 |
| 1790342426 | Michael Williams Jr. | Physician Assistant | 411 B Park Hill Dr, Frederickburg, VA 22401 | 2019-05-29 |
| 1285290965 | Ann Damalie Namabiro | Behavior Technician | 1411 Princess Ann Street, Fredericksburg, VA 22401 | 2019-05-17 |
| 1922579630 | Primary and Urgent Care LLC | Family Medicine | Primary and Urgent Care LLC, 2306 Plank Road Ste 100, Fredericksburg, VA 22401 | 2018-12-07 |
| 1003323056 | Mariah Mazzariello | Behavior Technician | 1411 Princess Anne Stree, Fredericksburg, VA 22401 | 2017-12-29 |
| 1336655281 | Hina Zafar | Behavior Technician | 1411 Princess Anne St., Fredericksburg, VA 22401 | 2017-12-14 |
| Find all providers in zip 22401 | ||||
| Taxonomy Code | 225200000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapy Assistant |
| (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient’s responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life. |
| Notes: Source: (1) American Physical Therapy Association, P.O. Box 37257, Washington, D.C. 20013. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265908149 | Levi Helleon Areel | Physical Therapy Assistant | 1019 Friendship Ln Apt 501, Fredericksburg, TX 78624-5621 | 2018-10-18 |
| 1528597903 | Ashley Telisa Battle | Physical Therapy Assistant | 12100 Chancellors Village Lane, Fredericksburg, VI 23223 | 2017-06-08 |
| 1174974406 | Crystal Barnes | Physical Therapy Assistant | 10518 Spotsylvania Ave, Suite 100, Fredericksburg, VA 22408-2693 | 2016-06-28 |
| 1720472541 | Rebecca Derting | Physical Therapy Assistant | 5308 River Rd Ste Pt, Fredericksburg, VA 22407-2231 | 2015-03-19 |
| 1497028476 | Ajay K Barma | Physical Therapy Assistant | 62 Sebastian Rd, C/o Dr. Goel, Fredericksburg, VA 22405-5733 | 2012-02-21 |
| 1932483765 | Larisa Marie Reforzo | Physical Therapy Assistant | 4710 Spotsylvania Pkwy Ste 102, Fredericksburg, VA 22407-9433 | 2011-09-28 |
| 1578861316 | Laurie Lee Lake-green | Physical Therapy Assistant | 140 Brimley Dr, Fredericksburg, VA 22406-5103 | 2011-03-02 |
| 1669774147 | Jason Todd Derting | Physical Therapy Assistant | 140 Brimley Road, Fredericksburg, VA 22406 | 2010-12-03 |
| 1043413115 | Shannon Leigh Wilson | Physical Therapy Assistant | 5210 Sarah Lane, Fredericksburg, VA 22407 | 2007-06-07 |
| 1306054739 | Angela Francine Earley | Physical Therapy Assistant | 1201 Sam Perry Blvd Ste 240, Fredericksburg, VA 22401-4490 | 2007-05-18 |
| Find all providers in FREDERICKSBURG | ||||
| City | FREDERICKSBURG |
| Zip Code | 22401 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.