Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carly Ericson, DPT

Individual provider Physical Therapist · NPI 1174404412

Carly Ericson, DPT is a Physical Therapist in Private Practice in Overland Park, Kansas. Qualified in 2003, 23 years ago. Practices with Preferred PT LLC, a 49-clinician group. Licensed in Kansas and Missouri.

Years since qualifying
23
Licensed in
KS, MO
In the registry since
2025
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

11600 College Blvd Ste 230
Overland Park, KS 66210-2773
Phone: (913) 906-0522
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 11-02665 (KS)
Physical Therapist Taxonomy 225100000X · Licence 2008037337 (MO)

Record details

NPI number1174404412
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedSeptember 11, 2025
Last updated in NPPESSeptember 11, 2025
Certification dateSeptember 11, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Preferred Pt Llc — 49 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in Overland Park