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Jared Blaine Carroll, DPT

NPI 1710492301ActiveIndividual· Physical Therapist· Bolivia, NC

Physical Therapist (DPT) in Bolivia, North Carolina, licensed in NC, with an NPI issued in December 2017. Medicare paid $7,240 for services to 43 patients in 2024.

Overview

NPI1710492301
StatusActive
Entity typeIndividual
CredentialDPT
Sole proprietorNo
NPI issuedDec 5, 2017
Last updated in NPPESMar 31, 2026
Certified by providerMar 31, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000X16942NC

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physical Therapist in Private Practice (NC)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients43
Services billed538 across 7 procedure codes
Paid by Medicare$7,240

Medicare sources and data years

Other Physical Therapist providers in Bolivia

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