Individual provider Active NPI

Felix B Carrillo, PT, DPT

  • Physical Therapist
  • Phoenix, AZ
National Provider Identifier
1124325477
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9089 Issued in AZ
Practice address
9305 W Thomas Rd
Suite 150
Phoenix, AZ 85037-3328
Phone
(623) 889-0411
Fax
(623) 889-0410
NPI assigned
Feb 23, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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 9089 AZ Primary

Addresses

Primary practice location

9305 W Thomas Rd
Suite 150
Phoenix, AZ 85037-3328

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110324000899 AZ Practitioner - Physical Therapist in Private Practice 7214110477 Reassigns benefits to 2 organizations
I20260416001996 TX Practitioner - Physical Therapist in Private Practice 7214110477 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ati Holdings of Arizona LLCGroup PAC ID 2466732862, 223 clinicians
Ideal Physical Therapy of Texas LLCGroup PAC ID 0547583809, 359 clinicians

Practice addresses (Care Compare)

11209 N Tatum Blvd
Suite B 120
Phoenix, AZ 85028-3091
Phone (602) 595-0204

12315 Judson Rd
Suite 310And312
Live Oak, TX 78233-3277
Phone (210) 599-3090

9494 W Northern Ave
Suite 114
Glendale, AZ 85305-1119
Phone (623) 745-3112

Merit-based Incentive Payment System (MIPS)

Final score
86.09 of 100Reported as group
Quality
89.13
Improvement activities
40
Cost
73.57

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9089AZMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Spooner Physical Therapy & Hand Rehab, PC CurrentSince Oct 1, 2010 Accepting new patients
Ati Holdings of Arizona, LLC Physical Therapist CurrentSince Jan 31, 2017 Accepting new patients
Ideal Rehabilitation LLC Past Accepting new patients

Locations (25 of 51)

1729 N Dysart Rd
Ste 103
Avondale, AZ 85392
Phone (623) 295-3630

11335 W Buckeye Rd
Ste C105
Avondale, AZ 85323

235 S Dobson Rd
Ste 3
Chandler, AZ 85224
Phone (480) 306-5832

960 E Warner Rd
Ste 7
Chandler, AZ 85225
Phone (480) 417-4930

3131 S Market St
Ste 109
Gilbert, AZ 85295

18561 N 59th Ave
Ste 117
Glendale, AZ 85308
Phone (602) 313-4089

5803 W Northern Ave
Ste 110
Glendale, AZ 85301
Phone (623) 295-3699

9494 W Northern Ave
Ste 114
Glendale, AZ 85305
Phone (623) 745-3112

5281 N 99th Ave
Ste 200
Glendale, AZ 85305
Phone (623) 889-0411

380 N Estrella Pkwy
Ste A1
Goodyear, AZ 85338
Phone (480) 455-6266

6632 E Baseline Rd
Ste 102
Mesa, AZ 85206
Phone (480) 219-7519

1752 S Signal Butte Rd
Ste D108
Mesa, AZ 85209
Phone (480) 417-5281

4360 E Brown Rd
Ste 111
Mesa, AZ 85205
Phone (480) 248-7132

1712 S Country Club Dr
Ste 101
Mesa, AZ 85210
Phone (602) 313-4337

3048 E Baseline Rd
Ste 125
Mesa, AZ 85204
Phone (480) 306-8512

805 N Dobson Rd
Ste 105
Mesa, AZ 85201
Phone (480) 844-3609

12162 N Rancho Vistoso Blvd
Ste 120
Oro Valley, AZ 85755
Phone (520) 229-0009

10355 N La Canada Dr
Ste 125
Oro Valley, AZ 85737
Phone (520) 407-5966

9127 W Thunderbird Rd
Ste 101
Peoria, AZ 85381
Phone (623) 322-0654

2827 W Peoria Ave
Ste B112
Phoenix, AZ 85029
Phone (602) 610-8665

3201 W Peoria Ave
Ste B408
Phoenix, AZ 85029
Phone (602) 296-7018

2005 W Happy Valley Rd
Ste 170
Phoenix, AZ 85085
Phone (623) 322-0654

4025 E Chandler Blvd
Ste 60
Phoenix, AZ 85048
Phone (480) 417-5271

6036 N 19th Ave
Ste 303
Phoenix, AZ 85015
Phone (602) 313-4155

9305 W Thomas Rd
Ste 150
Phoenix, AZ 85037
Phone (623) 889-0411

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1298419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1124325477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9305 W THOMAS RD",
            "address_2": "SUITE 150",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850373328",
            "telephone_number": "623-889-0411",
            "fax_number": "623-889-0410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRILLO",
        "first_name": "FELIX",
        "middle_name": "B",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-23",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "9089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.