Michael Lloyd Carlson, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT5756 Issued in CA

Practice address

18821 Delaware St
Suite # 103
Huntington Beach, CA 92648-1926

Phone

(714) 596-9799

Fax

(714) 596-9739

NPI assigned

Nov 17, 2006

Sex

Male

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 CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Craig M Carlson

  • Physical Therapist
  • Huntington Beach, CA
  • NPI 1972668770
  NPD (past)

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215475200000",
    "number": "1710051388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18821 DELAWARE ST",
            "address_2": "SUITE # 103",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481926",
            "telephone_number": "714-596-9799",
            "fax_number": "714-596-9739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18821 DELAWARE ST",
            "address_2": "SUITE # 103",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481926",
            "telephone_number": "714-596-9799",
            "fax_number": "714-596-9739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "MICHAEL",
        "middle_name": "LLOYD",
        "name_prefix": "Mr.",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2008-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT5756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GPT001460",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Care Dimensions LLC
• Carissa Karner
• Samuel Alan Carlis, D.O.
• Melanie Lynn Carlone
• Gary David Carlsen, DDS
• Carmen Jan Yoo
• Andrea Jean Carmody, MED, BCBA
• Maria Carmona
• Bonnie Carnes
• Azlynn Caro

• Physical Therapist in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.