Active NPI
Jeffrey Carvalho, PTA
- Physical Therapy Assistant
- Phoenix, AZ
National Provider Identifier
1831605732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 8362
- Practice address
- 7540 N 19TH Ave
Phoenix, AZ 85021-7967 - Phone
- (888) 796-3789
- NPI assigned
- Dec 15, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 8362 | MA | Primary |
Addresses
Primary practice location
7540 N 19TH Ave
Phoenix, AZ 85021-7967
Mailing address
41 Medeiros LN
N Dartmouth, MA 02747-1376
Phone (774) 992-9709
Other practice location 1
41 Medeiros Ln
N Dartmouth, MA 02747-1376
Phone (774) 992-9709
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8362 | MA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1831605732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 MEDEIROS LN",
"city": "N DARTMOUTH",
"state": "MA",
"postal_code": "027471376",
"telephone_number": "774-992-9709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7540 N 19TH AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850217967",
"telephone_number": "888-796-3789"
}
],
"practiceLocations": [
{
"address_1": "41 Medeiros Ln",
"address_purpose": "LOCATION",
"city": "N Dartmouth",
"state": "MA",
"postal_code": "027471376",
"country_code": "US",
"telephone_number": "774-992-9709",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARVALHO",
"first_name": "JEFFREY",
"name_prefix": "Mr.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-12-15",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MA",
"license": "8362",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.