Individual provider Active NPI

Carol A Cardenas, PT

  • Physical Therapist
  • Cary, NC
National Provider Identifier
1356355028
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT16081 Issued in CA
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

Updated by the provider on Jun 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PT16081OtherCAPHYSICAL THERAPY LICENSE

Other names 1

  • Ms. Carol Ann Lee Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060915000547 CA Practitioner - Physical Therapist in Private Practice 8921003476 Reassigns benefits to 2 organizations
I20230825000556 NC Practitioner - Physical Therapist in Private Practice 8921003476 Reassigns benefits to 2 organizations

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
Building Better Lives Occupational Medical Services IncGroup PAC ID 4981689569, 3 clinicians

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

LicenseStateTypeSpecialty
PT16081CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
California Luna Care Physical Therapy PC Physical Therapist CurrentSince Feb 28, 2024 Accepting new patients
North Carolina Luna Care Physical Therapy LLC Physical Therapist CurrentSince Aug 1, 2023 Accepting new patients
Life Clinic of NC PC Physical Therapist CurrentSince Nov 4, 2024 Accepting new patients
Integrated Therapy LLC Physical Therapist CurrentSince Jun 6, 2023 Accepting new patients
Dignity Health PastSince Apr 1, 2016 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.

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.

Verify at the official NPI Registry.