Individual provider Active NPI

Carlo Bajado Reyes, DPT

  • Physical Therapist
  • Torrance, CA
National Provider Identifier
1164681920
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
33601 Issued in CA
Practice address
3858 W Carson St Ste 115
Torrance, CA 90503-6705
Phone
(310) 995-0779
NPI assigned
Jun 6, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 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 33601 CA Primary

Addresses

Primary practice location

3858 W Carson St Ste 115
Torrance, CA 90503-6705

Mailing address

18410
Haas Ave
Torrance, CA 90504
Phone (310) 427-9901

Other practice location 1

840 Apollo Ste 101
El Segundo, CA 90245
Phone (310) 606-5664

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081119000878 CA Practitioner - Physical Therapist in Private Practice 2860552908 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3848 W Carson St
Suite 215
Torrance, CA 90503-6718
Phone (310) 543-0779

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Riviera Sports Physical Therapy Inc Physical Therapist PastSince Jun 23, 2004 Accepting new patients
Patty Brown Physical Therapy & Assoc PC Physical Therapist Past Accepting new patients

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": "1212710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1164681920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18410",
            "address_2": "HAAS AVE",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "90504",
            "telephone_number": "310-427-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3858 W CARSON ST STE 115",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905036705",
            "telephone_number": "310-995-0779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "840 Apollo Ste 101",
            "address_purpose": "LOCATION",
            "city": "El Segundo",
            "state": "CA",
            "postal_code": "90245",
            "country_code": "US",
            "telephone_number": "310-606-5664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYES",
        "first_name": "CARLO",
        "middle_name": "BAJADO",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "33601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.