NPIMap

Organization Active NPI

Richard P Carr Physical Therapy Inc

  • Physical Therapist
  • Milpitas, CA
National Provider Identifier
1376525840
Registry record updated Nov 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
RICHARD P CARR PHYSICAL THERAPY INC
Practice address
500 E Calaveras Blvd
Suite 112
Milpitas, CA 95035-7703
Phone
(408) 934-4700
Fax
(408) 934-4701
NPI assigned
Nov 18, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2016

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

Authorized official

Name
Anne Lasson, VP
Title
Vice President
Phone
(408) 570-0510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

500 E Calaveras Blvd
Suite 112
Milpitas, CA 95035-7703

Mailing address

500 E Calaveras Blvd
Suite 112
Milpitas, CA 95035-7703
Phone (408) 934-4700

Other identifiers 4

IdentifierTypeStateIssuer
196223400OtherDOL
7803529OtherCAAETNA
1411340OtherCACIGNA
ZZZ56822ZOtherBLUE SHIELD

Other names 1

  • Calaveras Physical Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040405001215 CA Part B Supplier - Clinic/Group Practice 9830182070 Receives reassigned benefits from 51 practitioners
11 other NPIs on this enrollment
Practice locations: Santa Clara, CA; San Jose, CA; Palo Alto, CA; Morgan Hill, CA; Milpitas, CA

Other NPIs on the same Medicare enrollment 11

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Performance Physical Therapy10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 54

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 54

NPI Registry JSON

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480464000000",
    "number": "1376525840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E CALAVERAS BLVD",
            "address_2": "SUITE 112",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950357703",
            "telephone_number": "408-934-4700",
            "fax_number": "408-934-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E CALAVERAS BLVD",
            "address_2": "SUITE 112",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950357703",
            "telephone_number": "408-934-4700",
            "fax_number": "408-934-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD P CARR PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-18",
        "last_updated": "2016-11-30",
        "status": "A",
        "authorized_official_last_name": "LASSON",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "408-570-0510",
        "authorized_official_credential": "VP"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOL",
            "identifier": "196223400",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7803529",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1411340",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ56822Z",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Calaveras Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milpitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; 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.