Ila Carrasco

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2048371

Practice address

5001 Office Park
Odessa, TX 79762-4843

Phone

(432) 362-1800

NPI assigned

Aug 27, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535328000000",
    "number": "1164903191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3412 SEGUIN",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797658967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 OFFICE PARK",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797624843",
            "telephone_number": "432-362-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRASCO",
        "first_name": "ILA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-27",
        "last_updated": "2018-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2048317",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": "2048371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald J. Carr, D.D.S., M.S., P.C.
• Abigail Levario Carrasco, MSN, RN, SANE CA-CP
• Anna Carrasco, CPHT
• Donna Kennedy Carrasco, LPC, NCC
• Gerardo Carrasco, PTA
• Jasmine Carrasco
• Manuel C Carrasco, D.D.S.
• Mary J Carrasco, LPC
• Paulina Carrasco
• Matthew Daniel Carraway, DDS

• Physical Therapy Assistant in Odessa, TX
• Providers in Odessa, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.