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

Carter James Stark, PT

Individual provider Physical Therapist · NPI 1083224521

Carter James Stark, PT is a Physical Therapist in Private Practice in Flagstaff, Arizona. Qualified in 2020, 6 years ago. Practices with Ascent Rehabilitation PLLC, a 3-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
6
Licensed in
AZ
In the registry since
2020
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

7810 N US Highway 89
Flagstaff, AZ 86004-6255
Phone: (928) 522-8375
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7540 N 19th Ave Ste 200, Phoenix, AZ 85021-7967 — (888) 873-4221

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence LPT-31271 (AZ)

Record details

NPI number1083224521
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 7, 2020
Last updated in NPPESAugust 22, 2023
Certification dateAugust 22, 2023
Mailing address1200 N Beaver St, Attn: Payer Credentialing, Flagstaff, AZ 86001-3118

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Ascent Rehabilitation Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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