Angie Carrillo, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

06002063A Issued in IN

Practice address

3500 Maple Ave
Terre Haute, IN 47804-1732

Phone

(812) 238-1555

NPI assigned

Aug 15, 2008

Last updated

Aug 15, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1218758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218758400000",
    "number": "1750537247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 MAPLE AVE",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478041732",
            "telephone_number": "812-238-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 MAPLE AVE",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478041732",
            "telephone_number": "812-238-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRILLO",
        "first_name": "ANGIE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-15",
        "last_updated": "2008-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IN",
            "license": "06002063A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendal R. Carpenter, PA-C
• Lori A Carpenter, APRN
• Todd M Carpenter, PSYD, HSPP
• Jade Carr, RBT
• Samantha Jo Carr, M.S.
• Josephine Elena Cartella
• Davida Cartwright, MASSAGE THERAPIST
• Kayla Caskey, OTR
• Akinzey Cass
• Stacy Caster, COTA

• Physical Therapy Assistant in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• Physical Therapy Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2008; 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.