Avery J Carney, PA-C, OT/L
Physician Assistant in Peterson Space Force Base, Colorado
1134281637- Practice location
- 559 Vincent St., Space Base Delta 1, Peterson Space Force Base, CO 80914
- Phone
- 719-723-6030
- Fax
- —
- Last updated
- August 12, 2025
Avery John Carney is a Physician Assistant based in Peterson Space Force Base, CO. Avery John Carney practices in Peterson Space Force Base, CO and has the professional credentials of PA-C, OT/L. The NPI Number for Avery John Carney is 1134281637 and holds a License No. 5071 (NC). The current practice location address for Avery John Carney is 559 Vincent St., Space Base Delta 1, Peterson Space Force Base, CO 80914 and can be reached out via phone at 719-723-6030.
Provider Profile Details
- NPI Number
- 1134281637
- Provider Name
- Avery John Carney
- Credential
- PA-C, OT/L
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 559 Vincent St., Space Base Delta 1, Peterson Space Force Base, CO 80914
- Phone Number
- 719-723-6030
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 14, 2006
- Last Update Date
- August 12, 2025
- Certification Date
- August 12, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 559 Vincent St.
Space Base Delta 1
Peterson Space Force Base, CO 80914 - State
- Colorado
- Zip
- 80914
- Phone Number
- 719-723-6030
Provider Business Mailing Address Details
- Address
- 559 Vincent St.
Space Base Delta 1
Peterson Space Force Base, CO 80914 - City
- Peterson Space Force Base
- State
- CO
- Zip
- 80914
License Information
- License Number (1)
- 5071
- License State (1)
- NC
- Taxonomy (1)
- Occupational Therapist · 225X00000X
- Taxonomy (2)
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistants near Peterson Space Force Base, CO
View all Physician Assistants in Peterson Space Force Base →Frequently Asked Questions
What is the NPI number of Avery J Carney, PA-C, OT/L?
The NPI number of Avery J Carney, PA-C, OT/L is 1134281637. It was assigned on December 14, 2006 and is currently active in the NPPES registry.
What is the specialty of Avery J Carney, PA-C, OT/L?
Avery J Carney, PA-C, OT/L is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NC under license number 5071.
Where does Avery J Carney, PA-C, OT/L practice?
The practice location is 559 Vincent St., Space Base Delta 1, Peterson Space Force Base, CO 80914. The office can be reached at 719-723-6030 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134281637 directly on the NPPES registry website.