NPIMap

Organization Active NPI

Carrola Physical Therapy,Inc.

  • Physical Therapist
  • Burlingame, CA
National Provider Identifier
1831261411
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CARROLA PHYSICAL THERAPY,INC.
Practice address
1740 Marco Polo Way
Suite #3
Burlingame, CA 94010-4522
Phone
(650) 552-9355
Fax
(650) 652-1951
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Tony Jara
Title
Office Manager
Phone
(650) 552-9355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X CA Primary

Addresses

Primary practice location

1740 Marco Polo Way
Suite #3
Burlingame, CA 94010-4522

Mailing address

1740 Marco Polo Way
Suite #3
Burlingame, CA 94010-4522
Phone (650) 552-9355

National Provider Directory

National Provider Directory

Locations

1740 Marco Polo Way
Ste 3
Burlingame, CA 94010
Phone (650) 259-8500

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1831261411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 MARCO POLO WAY",
            "address_2": "SUITE #3",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940104522",
            "telephone_number": "650-552-9355",
            "fax_number": "650-652-1951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 MARCO POLO WAY",
            "address_2": "SUITE #3",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940104522",
            "telephone_number": "650-552-9355",
            "fax_number": "650-652-1951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARROLA PHYSICAL THERAPY,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "JARA",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "650-552-9355",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlingame, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.