Active NPI
Charito Quijano, PHYSICAL THERAPIST
- Physical Therapist
- Carmichael, CA
National Provider Identifier
1356988075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT30070
- Practice address
- 6101 Fair Oaks Blvd
Carmichael, CA 95608-4818 - Phone
- (916) 296-0561
- NPI assigned
- Dec 1, 2019
- Sex
- Female
- 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 | PT30070 | CA | Primary |
Addresses
Primary practice location
6101 Fair Oaks Blvd
Carmichael, CA 95608-4818
Mailing address
11773 Dionysus Way
Rancho Cordova, CA 95742-8041
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NONE | Other | CA | NONE |
| NONE | Other | PT |
Other names 1
- Charito Ricafrente
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Url | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT30070 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575158400000",
"number": "1356988075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11773 DIONYSUS WAY",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "957428041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6101 FAIR OAKS BLVD",
"city": "CARMICHAEL",
"state": "CA",
"postal_code": "956084818",
"telephone_number": "916-296-0561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUIJANO",
"first_name": "CHARITO",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-01",
"last_updated": "2019-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT30070",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NONE",
"identifier": "NONE",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT",
"identifier": "NONE",
"state": null
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Url",
"affiliation": "N",
"endpointDescription": "url",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "URL",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Url",
"address_1": "6101 Fair Oaks Blvd",
"city": "Carmichael",
"state": "CA",
"country_code": "US",
"postal_code": "956084818",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "CHARITO",
"last_name": "RICAFRENTE",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Carmichael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.