Active NPI
Gregory Albert Carr, REGISTERED PHYSICAL
- Physical Therapist
- Citrus Heights, CA
National Provider Identifier
1043398290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8671
- Practice address
- 6560 Greenback Lane
#100
Citrus Heights, CA 95621 - Phone
- (916) 723-3372
- Fax
- (916) 722-5098
- NPI assigned
- Nov 2, 2006
- Sex
- Male
- 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 | 8671 | CA | Primary |
Addresses
Primary practice location
6560 Greenback Lane
#100
Citrus Heights, CA 95621
Mailing address
6560 Greenback Lane
#100
Citrus Heights, CA 95621
Phone (916) 723-3372
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8671 | CA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Burger Physical Therapy and Rehabilitation Agency Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Folsom, CA
- NPI 1457333908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211414400000",
"number": "1043398290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6560 GREENBACK LANE",
"address_2": "#100",
"city": "CITRUS HEIGHTS",
"state": "CA",
"postal_code": "95621",
"telephone_number": "916-723-3372",
"fax_number": "916-722-5098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6560 GREENBACK LANE",
"address_2": "#100",
"city": "CITRUS HEIGHTS",
"state": "CA",
"postal_code": "95621",
"telephone_number": "916-723-3372",
"fax_number": "916-722-5098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARR",
"first_name": "GREGORY",
"middle_name": "ALBERT",
"name_prefix": "Mr.",
"credential": "REGISTERED PHYSICAL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2008-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "8671",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Citrus Heights, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.