IndividualActive
Carter Mckinnon, PTA
NPI 1558071084 · Physical Therapy Assistant · South Pasadena, FL
Provider details
- NPI number
- 1558071084
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- License
- 32176 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1615 Pasadena Ave S Ste 200
South Pasadena, FL 33707-4518
Phone: (813) 978-9700
Fax: (813) 558-6185
Street-level locationGet directions
Mailing address
13020 N Telecom Pkwy
Temple Terrace, FL 33637-0915
Registry dates
- Enumerated
- 2022-11-23
- Last updated
- 2022-11-23
- Certified
- 2022-11-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.