CARLY ERICSON DPT
NPI 1174404412
Physical Therapist in Overland Park, KS

Active since September 11, 2025Accepts Medicare Assignment
11600 COLLEGE BLVD STE 230, OVERLAND PARK, KS 66210(913) 906-0522 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Carly Ericson Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARLY ERICSON DPT (NPI 1174404412) is an individual physical therapist in Overland Park, Kansas, licensed in Kansas (11-02665) and active in the NPI registry since September 2025. She is a graduate of Other (2003).

NPPES Registry Identity

NPI1174404412
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameCARLY ERICSONCredential: DPT
Location Address11600 COLLEGE BLVD STE 230Overland Park, KS 66210-2773
Mailing Address23208 W 45th TerShawnee, KS 66226-2427 · (913) 906-0522
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateSeptember 11, 2025
NPPES CertifiedSeptember 11, 2025
NPI 1174404412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Licenses Licensed in KS · 11-02665 Licensed in MO · 2008037337
Definition

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:<ul><li>Diagnose and manage movement dysfunction and enhance physical and functional abilities.</li><li>Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.</li><li>Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.</li><li>Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.</li><li>Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.</li></ul>PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

11600 COLLEGE BLVD STE 230, Overland Park, KS 66210

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Carly Ericson Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618990359
PECOS Enrollment IDI20060109001044, I20251112000206

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66210 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Home Health
11600 COLLEGE BLVD STE 230
OVERLAND PARK, KS 66210

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carly Ericson's NPI number?

The NPI number for Carly Ericson is 1174404412. It was assigned to this individual provider in the NPPES registry on September 11, 2025.

Where is Carly Ericson located?

Carly Ericson practices at 11600 College Blvd Ste 230, Overland Park, KS 66210. The listed phone number is (913) 906-0522.

What is Carly Ericson's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Carly Ericson enrolled in Medicare?

Yes. Carly Ericson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Carly Ericson was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.