Patti A. Carrillo, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1059079 Issued in TX

Practice address

2445 Missouri Ave Ste a
Las Cruces, NM 88001-5111

Phone

(575) 523-8080

Fax

(575) 523-8861

NPI assigned

Jun 10, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX, NM2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Drexel University College of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Del Valle Physical Therapy and RehabilitationGroup PAC ID 9537077714, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Del Valle Physical Therapy and Rehabilitation

  • Orthopedic Physical Therapist
  • Las Cruces, NM
  • NPI 1871688184
  Medicare reassignment Care Compare group NPD
• Manual Physical Therapy Specialists LLC

  • Physical Therapy Clinic/Center
  • El Paso, TX
  • NPI 1659640928

  Physical Therapist

  Medicare reassignment NPD
• P3 Physical Therapy, Inc

  • Physical Therapist
  • El Paso, TX
  • NPI 1528575420
  Medicare reassignment NPD

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1669476222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 MISSOURI AVE STE A",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880015111",
            "telephone_number": "575-523-8080",
            "fax_number": "575-523-8861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 MISSOURI AVE STE A",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880015111",
            "telephone_number": "575-523-8080",
            "fax_number": "575-523-8861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRILLO",
        "first_name": "PATTI",
        "middle_name": "A.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-10",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1059079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1589947-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony Paul Carrillo, RI
• Dulce Gabriela Carrillo, PHARMD
• Karina Carrillo
• Lizeth Adriana Carrillo
• Marlene Ann Carrillo
• James Matthew Carroll, MS OTR/L, CLT
• Estee Sonnie Carruthers, OTR
• Laura G Carsner, D.C.
• Carson Chiropractic Cener Inc.
• Marjorie Carson- la Page, P.T.

• Physical Therapist in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Physical Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.