Michael Joseph Canoy Carrillo

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1220556 Issued in TX

Practice address

5211 Corbridge Glen CT
Katy, TX 77449-2117

Phone

(954) 612-9488

NPI assigned

Jul 2, 2012

Last updated

Aug 3, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Performance Therapeutics - del Rio, PLLC

  • Physical Therapist
  • Del Rio, TX
  • NPI 1821379207
  NPD (past)
• Performance Therapeutics - Eagle Pass, PLLC

  • Physical Therapist
  • Eagle Pass, TX
  • NPI 1114266525
  NPD (past)
• Medpro Healthcare Staffing

  • Rehabilitation Hospital
  • Sunrise, FL
  • NPI 1922342021
  NPD (past)

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

{
    "created_epoch": "1341187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1477817658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5211 CORBRIDGE GLEN CT",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774492117",
            "telephone_number": "954-612-9488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5211 CORBRIDGE GLEN CT",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774492117",
            "telephone_number": "954-612-9488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRILLO",
        "first_name": "MICHAEL JOSEPH",
        "middle_name": "CANOY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-02",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1220556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• America Carrillo
• Caitlin Ann Carrillo
• Carlos W Carrillo
• Jovana Carrillo
• Maira Carrillo, MS, LPC
• James Michael Carroll, MD
• Lemuel Carroll
• Carson T. Lo MD PA (West Houston Infectious Disease Associates)
• Ashley Carter, PT
• Jeralyn Dionne Carter, PSYD GRADUAND, LMHC

• Physical Therapist in Katy, TX
• Providers in Katy, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; 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.