Carlos Isaac Roel, P.T., D.P.T., A.T.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

37295 Issued in CA

Practice address

1625 Aviation Blvd
Redondo Beach, CA 90278-2807

Phone

(310) 374-1614

Fax

(310) 374-1843

NPI assigned

Dec 12, 2011

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

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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 and National Provider Directory roles.

• Evergreen Physical Therapy Specialists, Inc

  • Physical Therapy Clinic/Center
  • Pasadena, CA
  • NPI 1346300670

  Physical Therapist

  Medicare reassignment NPD
• Physical Edge Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Arcadia, CA
  • NPI 1114988227

  Physical Therapist

  Medicare reassignment NPD
• Body Rehab Center

  • Physical Therapist
  • Los Angeles, CA
  • NPI 1215153747
  NPD (past)
• Foothill Family Service - Hudson

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pasadena, CA
  • NPI 1336275056
  NPD (past)
• Stay Ready Inc

  • Physical Therapist
  • Los Angeles, CA
  • NPI 1497859177
  NPD (past)
• Core Objectives Physical Therapy

  • Orthopedic Physical Therapist
  • Surprise, AZ
  • NPI 1912214032
  NPD (past)

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

{
    "created_epoch": "1323648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332979200000",
    "number": "1821366360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 AVIATION BLVD",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902782807",
            "telephone_number": "310-374-1614",
            "fax_number": "310-374-1843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 AVIATION BLVD",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902782807",
            "telephone_number": "310-374-1614",
            "fax_number": "310-374-1843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROEL",
        "first_name": "CARLOS",
        "middle_name": "ISAAC",
        "name_prefix": "Dr.",
        "credential": "P.T., D.P.T., A.T.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-12",
        "last_updated": "2012-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "37295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria May Roberts, LCSW
• Soledad Rodriguez Querejazu
• Destiny Sky Rodriguez
• Jennifer Magali Rodriguez
• Tara Rodriguez, IMF
• Ellen Roese, LCSW
• Michael Rogachevsky
• Daniel Paul Rogers
• Michele A Rogers, OD
• Robert G. Rogers, DC

• Physical Therapist in Redondo Beach, CA
• Providers in Redondo 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 Mar 29, 2012; 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.