Carlos M Escamilla, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1042638 Issued in TX

Practice address

5411 McPherson Rd
Ste 109
Laredo, TX 78041-6834

Phone

(956) 753-6100

Fax

(956) 753-6117

NPI assigned

Jan 23, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174677405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5411 MCPHERSON RD",
            "address_2": "STE 109",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416834",
            "telephone_number": "956-753-6100",
            "fax_number": "956-753-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5411 MCPHERSON RD",
            "address_2": "STE 109",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416834",
            "telephone_number": "956-753-6100",
            "fax_number": "956-753-6117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCAMILLA",
        "first_name": "CARLOS",
        "middle_name": "M",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1042638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• ER Docs Professional Assoc (Cosmetic Center Laredo)
• ER Docs Professional Association (Cosmetic Center Laredo)
• Erik Sloman-Moll, P.a.
• Paul Joseph Errington, CRNA
• Candelario Escamilla Jr., LPC
• Gilberto Escamilla
• Maria Luisa Escamilla
• Jocelynne A Escobar
• Iliana Escobedo
• Shanika Escochea

• Physical Therapist in Laredo, TX
• Providers in Laredo, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.