Active NPI
Carol A Cardenas, PT
- Physical Therapist
- Cary, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT16081
- Practice address
- 1700 Regency Pkwy
Cary, NC 27518-8533 - Phone
- (919) 467-7779
- NPI assigned
- Jul 28, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT16081 | CA | Primary |
Addresses
Primary practice location
1700 Regency Pkwy
Cary, NC 27518-8533
Mailing address
13116 E Millerton Rd
Moorpark, CA 93021-2141
Phone (310) 924-4233
Other practice location 1
7230 Medical Center Dr
suite 501
West Hills, CA 91307-1907
Phone (818) 340-9303
Other practice location 2
2876 Sycamore Dr Ste 304
Simi Valley, CA 93065-1550
Phone (805) 210-5787
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT16081 | Other | CA | PHYSICAL THERAPY LICENSE |
Other names 1
- Ms. Carol Ann Lee
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, NC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1901 Holser Walk
Suite 315
Oxnard, CA 93036-2633
Phone (805) 988-2273
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT16081 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Luna Care Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| North Carolina Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Life Clinic of NC PC | Physical Therapist | Current | Accepting new patients |
| Integrated Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Dignity Health | Past | Accepting new patients |
Locations
16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108
2221 Peachtree Rd NE
Ste D336
Atlanta, GA 30309
1700 Regency Pkwy
Cary, NC 27518
Phone (404) 351-5309
205 Athletic Club Blvd
Clayton, NC 27527
Organizations & group practices 6
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.
-
- Urgent Care Clinic/Center
- Oxnard, CA
- NPI 1225192743
-
- Physical Therapist
- Hendersonville, NC
- NPI 1124626148
-
- Physical Therapist
- Los Gatos, CA
- NPI 1689162166
-
- General Acute Care Hospital
- Oxnard, CA
- NPI 1073665360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686009600000",
"number": "1356355028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13116 E MILLERTON RD",
"city": "MOORPARK",
"state": "CA",
"postal_code": "930212141",
"telephone_number": "310-924-4233",
"fax_number": "805-733-1213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 REGENCY PKWY",
"city": "CARY",
"state": "NC",
"postal_code": "275188533",
"telephone_number": "919-467-7779"
}
],
"practiceLocations": [
{
"address_1": "7230 Medical Center Dr",
"address_2": "suite 501",
"address_purpose": "LOCATION",
"city": "West Hills",
"state": "CA",
"postal_code": "913071907",
"country_code": "US",
"telephone_number": "818-340-9303",
"fax_number": "818-340-4839",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2876 Sycamore Dr Ste 304",
"address_purpose": "LOCATION",
"city": "Simi Valley",
"state": "CA",
"postal_code": "930651550",
"country_code": "US",
"telephone_number": "805-210-5787",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARDENAS",
"first_name": "CAROL",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-28",
"last_updated": "2023-06-06",
"certification_date": "2023-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT16081",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY LICENSE",
"identifier": "PT16081",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CAROL",
"last_name": "LEE",
"middle_name": "ANN",
"prefix": "MS.",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; 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.