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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AVERY JOHN CARNEY, PA-C, OT/L

Active

AVERY JOHN CARNEY, PA-C, OT/L is a Physician Assistant healthcare provider located in PETERSON SPACE FORCE BASE, Colorado. NPI 1134281637 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · PETERSON SPACE FORCE BASE, CO

Registration Details

NPI Number
1134281637
Provider Type
Individual
Gender
Male
NPI Issued
Dec 14, 2006 (19.483757957277 yrs)
Last Updated
Aug 12, 2025
License
5071 (NC)

Practice Information

Address
559 VINCENT ST.
SPACE BASE DELTA 1
PETERSON SPACE FORCE BASE, CO, 80914
Browse CO providers · Browse ZIP 80914
Phone
7197236030
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.