Active NPI
Victor Carrasco, PT
- Physical Therapist
- Alamogordo, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4841
- Practice address
- 2351 Indian Wells Rd
Alamogordo, NM 88310-4607 - Phone
- (575) 437-3351
- Fax
- (575) 437-2622
- NPI assigned
- Jun 28, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3733 | NV | |
| Physical Therapist | 225100000X | 4841 | NM | Primary |
Addresses
Primary practice location
2351 Indian Wells Rd
Alamogordo, NM 88310-4607
Mailing address
PO Box 2860
Alamogordo, NM 88311-2860
Phone (575) 439-1397
Other practice location 1
7455 W Washington Ave Ste 100
Las Vegas, NV 89128-4338
Phone (702) 655-9456
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM, NV
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7125 Grand Montecito Pkwy
Suite 120
Las Vegas, NV 89149-0261
Phone (702) 515-1540
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4841 | NM | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Artesia Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| New Century Rehabilitation, LLC | Current | Accepting new patients | |
| Chynoweth Hill and Leavitt LLC | Current | Accepting new patients | |
| Chynoweth Hill and Leavitt LLC | Physical Therapist | Current | Accepting new patients |
| Alamogordo Physical Therapy & Wellness Center, Inc | Physical Therapist | Current | Accepting new patients |
| Carlsbad Physical Therapy & Wellness Center, LLC | Physical Therapist | Current | Accepting new patients |
| New Century Rehabilitation LLC | Physical Therapist | Current | Accepting new patients |
| Chynoweth Hill and Leavitt LLC | Physical Therapist | Past | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
2351 Indian Wells Rd
Alamogordo, NM 88310
Phone (575) 437-3351
601 W Mahone Dr
Artesia, NM 88210
Phone (575) 439-1397
126 S Canyon St
Carlsbad, NM 88220
Phone (505) 628-0503
4000 S Eastern Ave
Ste 300
Las Vegas, NV 89119
Phone (702) 734-2732
7125 Grand Montecito Pkwy
Ste 120
Las Vegas, NV 89149
Phone (702) 515-1540
3831 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 876-1733
7455 W Washington Ave
Ste 100
Las Vegas, NV 89128
Phone (702) 655-9456
2080 E Flamingo Rd
Ste 111
Las Vegas, NV 89119
Phone (702) 339-9668
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Las Vegas, NV
- NPI 1164415279
Physical Therapist
-
- Physical Therapist
- Alamogordo, NM
- NPI 1043225493
-
- Physical Therapist
- Artesia, NM
- NPI 1033124490
-
- Physical Therapist
- Carlsbad, NM
- NPI 1841205200
-
- Physical Therapist
- Las Vegas, NV
- NPI 1396777892
-
- Multi-Specialty Clinic/Center
- Las Vegas, NV
- NPI 1780303727
-
- Durable Medical Equipment & Medical Supplies
- Las Vegas, NV
- NPI 1801471628
-
- Physical Therapist
- Pahrump, NV
- NPI 1700878444
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558396800000",
"number": "1578914818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2860",
"city": "ALAMOGORDO",
"state": "NM",
"postal_code": "883112860",
"telephone_number": "575-439-1397",
"fax_number": "575-437-2622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2351 INDIAN WELLS RD",
"city": "ALAMOGORDO",
"state": "NM",
"postal_code": "883104607",
"telephone_number": "575-437-3351",
"fax_number": "575-437-2622"
}
],
"practiceLocations": [
{
"address_1": "7455 W Washington Ave Ste 100",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891284338",
"country_code": "US",
"telephone_number": "702-655-9456",
"fax_number": "702-243-1830",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARRASCO",
"first_name": "VICTOR",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-28",
"last_updated": "2019-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "3733",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "4841",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alamogordo, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2019; 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.