Robert Carrillo

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

308814 Issued in CA

Practice address

20211 Patio Dr Ste 205
Castro Valley, CA 94546-4338

Phone

(510) 537-3991

NPI assigned

Aug 26, 2025

Sex

Unspecified or another gender identity

Sole proprietor

Yes

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.

• California Sports Physical Therapy Centers, Inc.

  • Physical Therapist
  • Monterey, CA
  • NPI 1467436329

  CA, Physical Therapist

  Medicare reassignment Care Compare group NPD
• California Sports Physical Therapy Centers Inc

  • Physical Therapist
  • Albany, CA
  • NPI 1891472965
  NPD
• California Sports Physical Therapy Centers, Inc.

  • Physical Therapist
  • Castro Valley, CA
  • NPI 1144202615
  NPD

Specialty

Physical Therapist in Private Practice

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

California Sports Physical Therapy Centers Inc 37 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 26, 2025.

{
    "created_epoch": "1756166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1295613156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "853 HANCOCK ST APT 907",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945444900",
            "telephone_number": "408-688-7543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20211 PATIO DR STE 205",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945464338",
            "telephone_number": "510-537-3991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRILLO",
        "first_name": "ROBERT",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-08-26",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "308814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Cardona
• Lester B Carlos, D.C.
• Carolyn Ghazal and Dean Lambridis Dental Corporation
• Carolyn McAloon DPM PC
• Osvaldo Carranza
• Casey K. Shimane DDS a Professional Corporation
• Jennifer Casey
• Castro Valley Dental Care
• Castro Valley Dentistry, Inc.
• Castro Valley Health Care Center, Inc.

• All providers in Castro Valley, CA
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; 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.