MEDICARE: MS. CARRIE A AYERS PT

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	PT00008539	WA
2	225100000X	Physical Therapist	LPT-33076	AZ

General Provider Information

NPI Number	:	1154346195
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CARRIE A AYERS PT

Provider Business Mailing Address
First Line	:	PO BOX 5299
Second Line	:	M/S: 737-2-PHYS
City	:	TACOMA
State	:	WA
Zip	:	98415-0299
Country	:	US
Telephone Number	:	253-459-7970
Fax Number	:

Provider Business Practice Location Address
First Line	:	20770 W MARKET ST STE 106
Second Line	:
City	:	BUCKEYE
State	:	AZ
Zip	:	85396-8042
Country	:	US
Telephone Number	:	623-278-7520
Fax Number	:	623-278-7521

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

Provider Enumeration Date	:	07/12/2006
Last Update Date	:	10/30/2025

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