Healthcare Provider Details

I. General information

NPI: 1982917803
Provider Name (Legal Business Name): LINDSEY ELIZABETH CARVER PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2010
Last Update Date: 08/17/2021
Certification Date: 08/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1698 HIGHWAY 160 W STE 240
FORT MILL SC
29708-8035
US

IV. Provider business mailing address

1698 HIGHWAY 160 W STE 240
FORT MILL SC
29708-8035
US

V. Phone/Fax

Practice location:
  • Phone: 704-654-8599
  • Fax:
Mailing address:
  • Phone: 704-654-8599
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number10745
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License NumberP14527
License Number StateNC
# 3
Primary TaxonomyY
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number62030931
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: