Carlson Physical Therapy, Inc

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

19033 Issued in CA

Legal business name

CARLSON PHYSICAL THERAPY, INC

Practice address

8 Yellowpine LN
Trabuco Canyon, CA 92679-1420

Phone

(949) 713-7939

NPI assigned

Aug 21, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Timothy James Carlson, PTNPI 1659392041

Title

President

Phone

(949) 713-7939

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy James Carlson, RPT

  • Physical Therapist
  • Trabuco Canyon, CA
  • NPI 1659392041
  Medicare reassignment NPD Authorized official
• Christine Dragoo Baranick, PT

  • Orthopedic Physical Therapist
  • Yorba Linda, CA
  • NPI 1922081710
  NPD (past)
• Gary Paul Konecne, PT

  • Specialist
  • Santa Ana, CA
  • NPI 1760541148
  NPD (past)
• Helen Suzanne Mills, PHYSICAL THERAPIST

  • Physical Therapist
  • Coto de Caza, CA
  • NPI 1225272297
  NPD (past)
• Milomir Milosevich, PT

  • Geriatric Physical Therapist
  • Laguna Niguel, CA
  • NPI 1669509261

  Geriatrics

  NPD (past)
• Reha C Shrikhande, PT

  • Geriatric Physical Therapist
  • Trabuco Cyn, CA
  • NPI 1760650071

  Geriatrics

  NPD (past)

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362009600000",
    "number": "1255446860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 YELLOWPINE LN",
            "city": "TRABUCO CANYON",
            "state": "CA",
            "postal_code": "926791420",
            "telephone_number": "949-713-7939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 YELLOWPINE LN",
            "city": "TRABUCO CANYON",
            "state": "CA",
            "postal_code": "926791420",
            "telephone_number": "949-713-7939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLSON PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2013-02-28",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-713-7939",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Geriatrics",
            "state": "CA",
            "license": "19033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Briana Burton
• Shana Calderon
• Bailey Lynn Caldwell, RADT
• Lora Ann Caldwell, MA, CATC IV
• Robert William Canova, D.C.
• Timothy James Carlson, RPT
• Andrea Clark Carmona, CADC I
• Julio Cesar Carmona, LVN
• Sarah Diane Carmona
• Kamirah Carter

• Geriatric Physical Therapist in Trabuco Canyon, CA
• Providers in Trabuco Canyon, CA by specialty
• Geriatric Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; 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.