KELLY CARSON (PTA) – Contractor, NPI 1376835520

KELLY CARSON (PTA) is a healthcare provider. based in Clinton twp, Michigan. specializing in Contractor. They hold the professional credentials PTA. They hold a License No. 1988 (FL). The NPI Number for KELLY CARSON (PTA) is 1376835520

Main info

Female
Sole Proprietor
Name
KELLY CARSON (PTA)
NPI
1376835520
Phone
(813) 455-9621
Address
35746 HARPER AVE
Enumeration Date
6 May 2011
Last Update Date
6 May 2011
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

Provider Addresses for KELLY CARSON (PTA)

  • 35746 HARPER AVE

    CLINTON TWP, MI 480353212

    Phone: (813) 455-9621

    Type: Mailing

  • 4100 14TH ST NE

    SAINT PETERSBURG, FL 337035328

    Phone: (727) 455-8305

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48035)

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Reviews

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Frequently asked questions

Is there an official ID for KELLY CARSON (PTA) in U.S. healthcare records?
The official identifier for KELLY CARSON (PTA) is NPI 1376835520.
Would KELLY CARSON (PTA) appear as active to a payer?
You can treat KELLY CARSON (PTA) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe KELLY CARSON (PTA)'s focus?
For KELLY CARSON (PTA), the primary taxonomy reads as Contractor. Clinical services aligned with this taxonomy classification.
What locale is associated with KELLY CARSON (PTA)?
Directory geography for KELLY CARSON (PTA) centers on Clinton Twp, Michigan.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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NANCY OLIVERAS

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