Alexander Carrillo, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT36841 Issued in FL

Practice address

162 NE 25TH St Ste 103
Miami, FL 33137-4852

Phone

(305) 735-8901

NPI assigned

Feb 18, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sos Physio LLCGroup PAC ID 0648579334, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Sos Physio LLC

  • Physical Therapy Clinic/Center
  • Aventura, FL
  • NPI 1285091942

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Florida Luna Care Physical Therapy LLC

  • Physical Therapist
  • Jacksonville, FL
  • NPI 1114542032
  Medicare reassignment NPD
• David Aaron Ross MD LLC

  • Sports Medicine (Family Medicine) Physician
  • Miami, FL
  • NPI 1447957071
  NPD (past)

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

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1376136531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 NE 25TH ST STE 103",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331374852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 NE 25TH ST STE 103",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331374852",
            "telephone_number": "305-735-8901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRILLO",
        "first_name": "ALEXANDER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-18",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT36841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adriana A Carrillo Iregui, MD
• Carrillo Medical Services Inc
• Jorge Luis Carrillo Moya, HSE
• Miladys Carrillo Paulke
• Yasmary Carrillo Ravelo, RBT
• Barbara Carrillo, LCSW
• Blake Ernesto Carrillo, PA-C
• Carlos Carrillo
• Catalina Pardo Carrillo, DDS
• Claudia Carrillo

• Physical Therapist in Miami, FL
• Providers in Miami, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; 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.