MEDICARE: DR. CARTER ROSE HUSSEY 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	P23939	NC

General Provider Information

NPI Number	:	1457296436
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CARTER ROSE HUSSEY DPT

Provider Business Mailing Address
First Line	:	111 NW 5TH ST
Second Line	:
City	:	OAK ISLAND
State	:	NC
Zip	:	28465-6818
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	111 NW 5TH ST
Second Line	:
City	:	OAK ISLAND
State	:	NC
Zip	:	28465-6818
Country	:	US
Telephone Number	:	336-380-7117
Fax Number	:

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

Provider Enumeration Date	:	04/23/2026
Last Update Date	:	04/23/2026

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Directions to “ DR. CARTER ROSE HUSSEY DPT” Practice Location

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