Carrie Elizabeth Purvis, PT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

29565 Issued in CA

Practice address

30 Mitchell Blvd
San Rafael, CA 94903-2034

Phone

(415) 624-9314

NPI assigned

Dec 20, 2007

Last updated

Sep 5, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Soar Pediatric Physical Therapy

  • Physical Therapy Clinic/Center
  • San Rafael, CA
  • NPI 1801614128
  NPD Authorized official
• Movement Discoveries, Inc.

  dba Movement Discoveries Pediatric Therapy Center

  • Physical Therapy Clinic/Center
  • Burlingame, CA
  • NPI 1639379472
  NPD (past)

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1427232883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 TRELLIS DR",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949033326",
            "telephone_number": "415-624-9314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MITCHELL BLVD",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949032034",
            "telephone_number": "415-624-9314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURVIS",
        "first_name": "CARRIE",
        "middle_name": "ELIZABETH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-20",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "29565",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "CA",
            "license": "29565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Ruth Pullen
• Susan E Puorro, CRNA
• Elaine C Purcell
• Patricia M. Purcell, NP
• Michelle Anne Purdy, CADAC
• Kate Purvis
• Maria Lourdes Quesada, MFT
• Sarah Catherine Quesnell, LCSW
• Quest Programs, Inc. (Eagle Eye - Vista)
• Quest Programs, Inc. (Eagle Eye- Horizons)

• Pediatric Physical Therapist in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Pediatric Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.