Active NPI
Richard P Carr Physical Therapy Inc
- Physical Therapist
- San Jose, CA
National Provider Identifier
1114900263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- RICHARD P CARR PHYSICAL THERAPY INC
- Practice address
- 2039 Forest Ave
#104
San Jose, CA 95128-4817 - Phone
- (408) 279-8501
- Fax
- (408) 279-8504
- NPI assigned
- Nov 22, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anne Lasson
- Title
- Vice President
- Phone
- (408) 570-0510
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary | ||
| Hand Occupational Therapist | 225XH1200X |
Addresses
Primary practice location
2039 Forest Ave
#104
San Jose, CA 95128-4817
Mailing address
246 Sobrante Way
Sunnyvale, CA 94086-4807
Phone (408) 733-3670
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2210753 | Other | FIRST HEALTH | |
| ZZZ04942Z | Other | CA | BLUESHIELD |
Other names 1
- Rehab Outcome Management
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040405001215 | CA | Part B Supplier - Clinic/Group Practice | 9830182070 |
Receives reassigned benefits from 51 practitioners 11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Santa Clara, CA; San Jose, CA; Palo Alto, CA; Morgan Hill, CA; Milpitas, CA |
Other NPIs on the same Medicare enrollment 11
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Physical Therapist
- Santa Clara, CA
- NPI 1326020868
O20040405001215
-
- Physical Therapy Clinic/Center
- Palo Alto, CA
- NPI 1386238665
O20040405001215
-
- Physical Therapist
- Morgan Hill, CA
- NPI 1306829452
O20040405001215
National Provider Directory
National Provider DirectoryLocations
490 W El Camino Real
Mountain View, CA 94040
Phone (650) 961-7370
125 N Jackson Ave
Ste 204
San Jose, CA 95116
Phone (408) 254-7730
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132617600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1201478400000",
"number": "1114900263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "246 SOBRANTE WAY",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "940864807",
"telephone_number": "408-733-3670",
"fax_number": "408-245-7968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2039 FOREST AVE",
"address_2": "#104",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951284817",
"telephone_number": "408-279-8501",
"fax_number": "408-279-8504"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHARD P CARR PHYSICAL THERAPY INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-22",
"last_updated": "2008-01-28",
"status": "A",
"authorized_official_last_name": "LASSON",
"authorized_official_first_name": "ANNE",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "408-570-0510"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225XH1200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Hand",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "2210753",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUESHIELD",
"identifier": "ZZZ04942Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Rehab Outcome Management",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Jose, CA
- Richard D. Sellen, DDS, Inc.
- Richard Dohn MD Inc.
- Richard Eng M.D. Inc a Professional Corporation
- Richard H Sieve, M. D., a Prof. Corp
- Richard J Trevino MD a Professional Corporation
- Richard P Carr Physical Therapy Inc
- Richard P Carr Physical Therapy Inc
- Richard P. Carr Physical Therapy Inc
- Richard P. Carr Physical Therapy Inc
- Richard T. Kao, DDS, PHD - Dental Corp.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.