NPIMap

Organization Active NPI

Carrico Pediatric Therapy, Inc.

  • Physical Therapy Clinic/Center
  • San Dimas, CA
National Provider Identifier
1851754428
Registry record updated Apr 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
11906 Issued in CA
Legal business name
CARRICO PEDIATRIC THERAPY, INC.
Practice address
1301 W Arrow Hwy
Suite 130
San Dimas, CA 91773-2330
Phone
(909) 599-8084
Fax
(909) 929-0805
NPI assigned
Apr 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2016

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

Authorized official

Name
Lan Carrico, M.A., OTR/LNPI 1669849428
Title
Occupational Therapist
Phone
(562) 607-1937

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 11906 CA
Physical Therapy Clinic/Center 261QP2000X 11906 CA Primary

Addresses

Primary practice location

1301 W Arrow Hwy
Suite 130
San Dimas, CA 91773-2330

Mailing address

1301 W Arrow Hwy
Suite 130
San Dimas, CA 91773-2330
Phone (909) 599-8084

National Provider Directory

National Provider Directory

Locations

1301 W Arrow Hwy
Ste 130
San Dimas, CA 91773
Phone (909) 222-2745

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1459468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459468800000",
    "number": "1851754428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 W ARROW HWY",
            "address_2": "SUITE 130",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917732330",
            "telephone_number": "909-599-8084",
            "fax_number": "909-929-0805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W ARROW HWY",
            "address_2": "SUITE 130",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917732330",
            "telephone_number": "909-599-8084",
            "fax_number": "909-929-0805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARRICO PEDIATRIC THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-01",
        "last_updated": "2016-04-01",
        "status": "A",
        "authorized_official_last_name": "CARRICO",
        "authorized_official_first_name": "LAN",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "562-607-1937",
        "authorized_official_credential": "M.A., OTR/L"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "CA",
            "license": "11906",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "11906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Dimas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2016; 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.