National Provider Identifier
Carrie Fagan, PT
Carrie Fagan, PT is listed in the NPPES registry with a primary specialty of Physical Therapist in Clifton Springs, NY and a listed phone number of (315) 462-3588.
Profile Overview
- NPI
- 1912330747
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- August 15, 2013
- Last Updated
- May 16, 2019
Practice Location
- 210 Clifton Springs Professional Park
- Clifton Springs, NY 14432-1041
Phone: (315) 462-3588
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1912330747
- Entity Type
- Individual
- Last Name
- Fagan
- First Name
- Carrie
- Credential
- PT
- Provider Other Last Name
- Goodberlet
- Provider Other First Name
- Carrie
- Provider Other Credential Text
- PT
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 210 Clifton Springs Professional Park
- Mailing City
- Clifton Springs
- Mailing State
- NY
- Mailing ZIP Code
- 14432-1041
- Mailing Country
- US
- Mailing Phone
- (315) 906-0051
- Mailing Fax
- (315) 906-0058
- Practice Street Address
- 210 Clifton Springs Professional Park
- Practice City
- Clifton Springs
- Practice State
- NY
- Practice ZIP Code
- 14432-1041
- Practice Country
- US
- Practice Phone
- (315) 462-3588
- Practice Fax
- (315) 462-6590
- Enumeration Date
- August 15, 2013
- Last Updated
- May 16, 2019
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)