Individual provider Active NPI

Daniel Gerald Carleton, PT

  • Physical Therapist
  • Camarillo, CA
National Provider Identifier
1477651792
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT32974 Issued in CA
Practice address
2486 Ponderosa North
Suite D106
Camarillo, CA 93010-2376
Phone
(805) 484-5447
Fax
(805) 484-2158
NPI assigned
Sep 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT32974 CA Primary

Addresses

Primary practice location

2486 Ponderosa North
Suite D106
Camarillo, CA 93010-2376

Mailing address

481 Vereda del Ciervo
Goleta, CA 93117
Phone (805) 448-5136

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070312000530 CA Practitioner - Physical Therapist in Private Practice 5799888772 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sand Coast Rehab Physical Therapy IncGroup PAC ID 7315352911, 131 clinicians

Practice addresses (Care Compare)

7945 Topanga Canyon Blvd
Canoga Park, CA 91304-4733
Phone (732) 994-3200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32974CAMDPharmacist
PT32974CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sand Coast Rehab Physical Therapy Inc Physical Therapist CurrentSince Mar 1, 2020 Accepting new patients
Harris & King Health Services Inc Physical Therapist PastSince Oct 15, 2006 Accepting new patients
Muller & Weber Physical Therapy, Inc Physical Therapist PastSince Sep 9, 2003 Accepting new patients

Locations

7945 Topanga Canyon Blvd
Canoga Park, CA 91304
Phone (818) 716-9900

441 E Carson St
Ste K
Carson, CA 90745
Phone (732) 375-0420

22995 Mill Creek Dr
Ste A
Laguna Hills, CA 92653

3558 Round Barn Blvd
Ste 600
Santa Rosa, CA 95403

1200 Cypress Point Ln
Ventura, CA 93003
Phone (805) 650-8000

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477651792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "481 VEREDA DEL CIERVO",
            "city": "GOLETA",
            "state": "CA",
            "postal_code": "93117",
            "telephone_number": "805-448-5136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2486 PONDEROSA NORTH",
            "address_2": "SUITE D106",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930102376",
            "telephone_number": "805-484-5447",
            "fax_number": "805-484-2158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLETON",
        "first_name": "DANIEL",
        "middle_name": "GERALD",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT32974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.