Individual provider Active NPI

Carolina Rojas Cruz

  • Physical Therapist
  • El Segundo, CA
National Provider Identifier
1538046255
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
308712 Issued in CA
Practice address
615 N Nash St Ste 306
El Segundo, CA 90245-2850
Phone
(310) 535-0008
NPI assigned
Aug 18, 2025
Last updated
Aug 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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 308712 CA Primary

Addresses

Primary practice location

615 N Nash St Ste 306
El Segundo, CA 90245-2850

Mailing address

1715 252ND St Unit 1
Lomita, CA 90717-1975
Phone (310) 956-0009

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251021003932 CA Practitioner - Physical Therapist in Private Practice 1850889973 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Southern California Keck School of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Made to Move Physical Therapy IncGroup PAC ID 6103825625, 6 clinicians

Practice addresses (Care Compare)

615 N Nash St
Suite 306
El Segundo, CA 90245-2850
Phone (310) 920-3952

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
308712CAMDCase Management Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Made to Move Physical Therapy, Inc. Physical Therapist CurrentSince Aug 18, 2025 Accepting new patients

Locations

615 N Nash St
Ste 306
El Segundo, CA 90245
Phone (310) 535-0008

Organizations & group practices 1

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": "1755475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1538046255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 252ND ST UNIT 1",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907171975",
            "telephone_number": "310-956-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 N NASH ST STE 306",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902452850",
            "telephone_number": "310-535-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROJAS CRUZ",
        "first_name": "CAROLINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-18",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "308712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Segundo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; 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.