CARLY ERICSON DPT
NPI 1174404412
Physical Therapist in Overland Park, KS
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
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- 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.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Carly Ericson Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Carly Ericson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lenexa, KS 66219
- Reassigned Medicare billing, Kansas and Missouri enrollments
- Also billed through NPI 1568830040 (Missouri)
- 57 clinicians in this Medicare group
Lenexa, KS 66216
- Reassigned Medicare billing, Kansas enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 enrollment system.
Which organizations bill Medicare for Carly Ericson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carly Ericson reassigns Medicare benefits to 2 organizations: Preferred Pt, LLC (Lenexa, KS) and Fyzical Therapy & Balance Centers Lenexa LLC (Lenexa, KS). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carly Ericson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carly Ericson accept?
Health plans from Ambetter Health, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Blue Cross and Blue Shield of Kansas City list Carly Ericson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Carly Ericson was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.