Diane E. Carrillo, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

LPT-30580

Practice address

7759 N Silverbell Rd Apt 10105
Tucson, AZ 85743

Phone

(520) 403-6192

NPI assigned

Jan 16, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Therapy 2U, PLLC

  • Physical Therapist
  • Beverly Hills, FL
  • NPI 1548950934
  Medicare reassignment NPD
• BHSM Rehabilitation, LLC

  • Physical Therapy Clinic/Center
  • Payson, AZ
  • NPI 1497222632
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554076800000",
    "number": "1356492193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7759 N SILVERBELL RD APT 10105",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857438294",
            "telephone_number": "520-403-6192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7759 N SILVERBELL RD APT 10105",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85743",
            "telephone_number": "520-403-6192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRILLO",
        "first_name": "DIANE",
        "middle_name": "E.",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2019-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "33333",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": "LPT-30580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandria Nicole Carrillo, DMD
• Annette Carrillo, DR
• Christina Maria Carrillo, PHARMD
• Claudia M. Carrillo, LAC DIPOM CMT
• Cynthia Carrillo, M.D.
• Dominique Carrillo
• Efrain De la Cerda Carrillo, LCSW
• Francisco Javier Carrillo, ACNP
• Gabriella Carrillo
• Guadalupe Araceli Carrillo

• Physical Therapist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.