MEDICARE: KARLY ELIZABETH FIELDS DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	P23260	NC

General Provider Information

NPI Number	:	1588405252
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARLY ELIZABETH FIELDS DPT

Provider Business Mailing Address
First Line	:	1925 TURNBURY DR
Second Line	:
City	:	GREENVILLE
State	:	NC
Zip	:	27858-6168
Country	:	US
Telephone Number	:	252-341-9944
Fax Number	:

Provider Business Practice Location Address
First Line	:	4251 ARENDELL ST STE E
Second Line	:
City	:	MOREHEAD CITY
State	:	NC
Zip	:	28557-2871
Country	:	US
Telephone Number	:	252-341-9944
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2024
Last Update Date	:	02/02/2026

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