Active NPI
Carlos Carrera, PT.
- Physical Therapist
- Glendora, CA
National Provider Identifier
1316064264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT18887
- Practice address
- 130 W Route 66 Ste 108
Glendora, CA 91740-6250 - Phone
- (626) 852-8803
- Fax
- (626) 852-8805
- NPI assigned
- Mar 24, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT18887 | CA | Primary |
Addresses
Primary practice location
130 W Route 66 Ste 108
Glendora, CA 91740-6250
Mailing address
1230 E Washington St Ste 2
Colton, CA 92324-6438
Phone (909) 825-6716
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1988
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
12015 Hebe Ave
Norwalk, CA 90650-2451
4934 Lankershim Blvd
North Hollywood, CA 91601-4443
PO Box
Suite 530
Simi Valley, CA 93062
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT18887 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carrera Physical Therapy and Wellness PC | Physical Therapist | Current | Accepting new patients |
| United Therapy Network Inc | Physical Therapist | Past | Accepting new patients |
| United Therapy Network Incorporated | Physical Therapist | Past | Accepting new patients |
Locations
4934 Lankershim Blvd
North Hollywood, CA 91601
Phone (818) 308-7061
Organizations & group practices 3
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
- North Hollywood, CA
- NPI 1073468195
-
- Physical Therapist
- Glendora, CA
- NPI 1750500161
-
- Physical Therapist
- Riverside, CA
- NPI 1629693619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316064264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1230 E WASHINGTON ST STE 2",
"city": "COLTON",
"state": "CA",
"postal_code": "923246438",
"telephone_number": "909-825-6716",
"fax_number": "909-825-4339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 W ROUTE 66 STE 108",
"city": "GLENDORA",
"state": "CA",
"postal_code": "917406250",
"telephone_number": "626-852-8803",
"fax_number": "626-852-8805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARRERA",
"first_name": "CARLOS",
"name_prefix": "Mr.",
"credential": "PT.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT18887",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendora, CA
Sources for this page
- 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 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.