Active NPI
Phillip Carr
- Orthopedic Physical Therapist
- Laguna Hills, CA
National Provider Identifier
1255949467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 295742
- Practice address
- 23961 Calle de la Magdalena
Laguna Hills, CA 92653-3616 - Phone
- (949) 837-5111
- NPI assigned
- Jul 14, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 295742 | CA | Primary |
Addresses
Primary practice location
23961 Calle de la Magdalena
Laguna Hills, CA 92653-3616
Mailing address
24275 Tahoe CT
Laguna Niguel, CA 92677-7024
Phone (949) 294-9079
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
25422 Trabuco Rd
Suite 101
Lake Forest, CA 92630-2790
Phone (949) 294-9079
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Biofix Physical Therapy and Fitness Inc | Orthopedic | Current | Accepting new patients |
Locations
25422 Trabuco Rd
Ste 101
Lake Forest, CA 92630
Phone (949) 294-9079
Organizations & group practices 1
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.
-
- Physical Therapist
- Lake Forest, CA
- NPI 1588236707
Orthopedic
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594684800000",
"number": "1255949467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24275 TAHOE CT",
"city": "LAGUNA NIGUEL",
"state": "CA",
"postal_code": "926777024",
"telephone_number": "949-294-9079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23961 CALLE DE LA MAGDALENA",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926533616",
"telephone_number": "949-837-5111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARR",
"first_name": "PHILLIP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-07-14",
"last_updated": "2020-07-14",
"certification_date": "2020-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "295742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laguna Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; 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.