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

Dr. Jared Blaine Carroll, DPT

Individual provider Physical Therapist · NPI 1710492301

Dr. Jared Blaine Carroll, DPT is a Physical Therapist in Bolivia, North Carolina. Licensed in North Carolina. Registered with an NPI since 2017.

Licensed in
NC
In the registry since
2017
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

35 Referendum Dr NE
Bolivia, NC 28422-7578
Phone: (910) 406-5100
Fax: (866) 293-0649
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 16942 (NC)

Record details

NPI number1710492301
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedDecember 5, 2017
Last updated in NPPESMarch 31, 2026
Certification dateMarch 31, 2026

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