MEDICARE: DR. ELIZABETH CARR 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	05016304A	IN
2	225100000X	Physical Therapist	PT36516	FL

General Provider Information

NPI Number	:	1467058107
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ELIZABETH CARR DPT

Provider Business Mailing Address
First Line	:	3488 E LAKE RD STE 302
Second Line	:
City	:	PALM HARBOR
State	:	FL
Zip	:	34685-2404
Country	:	US
Telephone Number	:	727-786-1996
Fax Number	:	727-789-2111

Provider Business Practice Location Address
First Line	:	3488 E LAKE RD STE 302
Second Line	:
City	:	PALM HARBOR
State	:	FL
Zip	:	34685-2404
Country	:	US
Telephone Number	:	727-786-1996
Fax Number	:	727-789-2111

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

Provider Enumeration Date	:	12/08/2020
Last Update Date	:	02/15/2026

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