Individual provider Active NPI

Craig Daniel Pillow, DPT

  • Physical Therapist
  • Bermuda Dunes, CA
National Provider Identifier
1043946502
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
296837 Issued in CA
Practice address
78078 Country Club Dr Ste 205
Bermuda Dunes, CA 92203-8175
Phone
(760) 345-9934
Fax
(760) 345-3086
NPI assigned
Jul 27, 2022
Last updated
Jul 27, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 296837 CA Primary

Addresses

Primary practice location

78078 Country Club Dr Ste 205
Bermuda Dunes, CA 92203-8175

Mailing address

111 Brisa Dr
Palm Desert, CA 92211-0779
Phone (760) 972-6074

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220823001320 CA Practitioner - Physical Therapist in Private Practice 2264815331 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PT Works IncGroup PAC ID 0042629818, 5 clinicians

Practice addresses (Care Compare)

40004 Cook St
Suite 4
Palm Desert, CA 92211-5802
Phone (760) 568-9811

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
PT Works Inc Physical Therapist CurrentSince May 1, 2024 Accepting new patients
Jordan Physical Therapy Center Inc Physical Therapist CurrentSince Jun 5, 2023 Accepting new patients
James Mawhiney Physical Therapy Inc Physical Therapist CurrentSince Aug 22, 2022 Accepting new patients

Locations

78078 Country Club Dr
Ste 205
Bermuda Dunes, CA 92203
Phone (760) 345-9934

40004 Cook St
Ste 4
Palm Desert, CA 92211
Phone (760) 568-9811

42080 State St
#A
Palm Desert, CA 92211
Phone (760) 568-2894

43875 Washington St
Ste G
Palm Desert, CA 92211
Phone (760) 701-5046

76375 Country Club Dr
Palm Desert, CA 92211
Phone (760) 345-9934

78206 Varner Rd
Ste D
Palm Desert, CA 92211
Phone (949) 414-5486

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1043946502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 BRISA DR",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922110779",
            "telephone_number": "760-972-6074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78078 COUNTRY CLUB DR STE 205",
            "city": "BERMUDA DUNES",
            "state": "CA",
            "postal_code": "922038175",
            "telephone_number": "760-345-9934",
            "fax_number": "760-345-3086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILLOW",
        "first_name": "CRAIG",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-27",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "296837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bermuda Dunes, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.