Carroll Physiotherapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

CARROLL PHYSIOTHERAPY

Practice address

2200 E Camelback Rd Ste 102
Phoenix, AZ 85016-3455

Phone

(602) 456-2153

NPI assigned

Jun 19, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kyle Emmett Carroll, PT, DPTNPI 1194392571

Title

Owner

Phone

(602) 456-2153

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kyle Emmett Carroll, PT, DPT

  • Physical Therapist
  • Glendale, AZ
  • NPI 1194392571
  NPD (past) Authorized official

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

{
    "created_epoch": "1655596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694649600000",
    "number": "1750012969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 E CAMELBACK RD STE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850163455",
            "telephone_number": "602-456-2153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 E CAMELBACK RD STE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850163455",
            "telephone_number": "602-456-2153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARROLL PHYSIOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-19",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "EMMETT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-456-2153",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seneca Akasha Carrillo, MD
• Carring Devotion LLC
• Serena Rose Carrizales
• Taelyn Dallas Carrizales
• Christina Monique Carrizoza, M.S.
• Anna Nicole Carroll
• Christine Carroll
• Faith M Carroll, N.P.
• Garret Jason Carroll, MD
• Joshua Carroll, M.D.

• Physical Therapy Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Physical Therapy Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.