Constance E Carlson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 13019 Issued in CA

Practice address

6133 Bristol Pkwy
Suite 200
Culver City, CA 90230-6609

Phone

(310) 337-7600

NPI assigned

Nov 15, 2008

Last updated

Jan 31, 2015By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

NRP Physical Therapy Corp.Group PAC ID 2163709544, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• NRP Physical Therapy Corp.

  dba Neuro Rehab Partners

  • Physical Therapy Clinic/Center
  • Redondo Beach, CA
  • NPI 1477086643
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1226707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422662400000",
    "number": "1629222799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10758 MOLONY RD",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902305449",
            "telephone_number": "310-839-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6133 BRISTOL PKWY",
            "address_2": "SUITE 200",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902306609",
            "telephone_number": "310-337-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "CONSTANCE",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-15",
        "last_updated": "2015-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 13019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caring Hands Home Health Agency, Inc.
• Allison Jill Carl, LCSW
• Carlos Rodriguez Chiropractic, Inc.
• Audra Denise Carlos
• Kenneth Carlos
• Ofelia Carmona Gijon
• Nathalie Celeste Carmona
• John A Carnemolla
• Sharon Carpenter
• Tom Carradine, RN

• Physical Therapist in Culver City, CA
• Providers in Culver City, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2015; 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.