Active NPI
Catherine Carreiro, PT, ATC
- Physical Therapist
- Fullerton, CA
National Provider Identifier
1003960337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT13020
- Practice address
- 800 N. State College Blvd
SHCC-East RM 102
Fullerton, CA 92834-6830 - Phone
- (714) 278-2860
- NPI assigned
- Jan 23, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT13020 | CA | Primary |
Addresses
Primary practice location
800 N. State College Blvd
SHCC-East RM 102
Fullerton, CA 92834-6830
Mailing address
21986 Tobarra
Mission Viejo, CA 92692-4216
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT13020 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003960337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21986 TOBARRA",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926924216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 N. STATE COLLEGE BLVD",
"address_2": "SHCC-EAST RM 102",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928346830",
"telephone_number": "714-278-2860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARREIRO",
"first_name": "CATHERINE",
"name_prefix": "Ms.",
"credential": "PT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT13020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.