Individual provider Active NPI

Carlos Zorrilla

  • Physical Therapist
  • Astoria, NY
National Provider Identifier
1144769472
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
040912 Issued in NY
Practice address
2540 30TH Rd
Suite A1
Astoria, NY 11102-2634
Phone
(646) 238-3090
Fax
(347) 396-5613
NPI assigned
Feb 20, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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 040912 NY Primary

Addresses

Primary practice location

2540 30TH Rd
Suite A1
Astoria, NY 11102-2634

Mailing address

2540 30TH Rd
Suite A1
Astoria, NY 11102-2634
Phone (646) 238-3090

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170803001394 NY Practitioner - Physical Therapist in Private Practice 1355612763 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1042 Jackson Ave
Long Island City, NY 11101-5819

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy and Chiropractic PLLC Physical Therapist CurrentSince Jul 21, 2017 Accepting new patients
Body Hack High Performance PT PLLC Physical Therapist CurrentSince Feb 5, 2021 Accepting new patients
Health First Physical Therapy PC Physical Therapist PastSince Aug 19, 2014 Accepting new patients

Locations

10814 72nd Ave
Ste 4
Forest Hills, NY 11375
Phone (718) 749-2171

1042 Jackson Ave
Long Island City, NY 11101
Phone (718) 433-9909

Organizations & group practices 3

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": "1487548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487548800000",
    "number": "1144769472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2540 30TH RD",
            "address_2": "SUITE A1",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111022634",
            "telephone_number": "646-238-3090",
            "fax_number": "347-396-5613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 30TH RD",
            "address_2": "SUITE A1",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111022634",
            "telephone_number": "646-238-3090",
            "fax_number": "347-396-5613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZORRILLA",
        "first_name": "CARLOS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-20",
        "last_updated": "2017-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "040912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.