Active NPI
Loren L Carroll, MSPT
- Physical Therapist
- Huntington Beach, CA
National Provider Identifier
1881725166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT18207
- Practice address
- 7662 Danube Dr
Huntington Beach, CA 92647-4639 - Phone
- (714) 334-1014
- Fax
- (209) 780-4035
- NPI assigned
- Mar 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 Therapist | 225100000X | PT18207 | CA | Primary |
Addresses
Primary practice location
7662 Danube Dr
Huntington Beach, CA 92647-4639
Mailing address
7662 Danube Dr
Huntington Beach, CA 92647-4639
Phone (714) 334-1014
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
7662 Danube Dr
Huntington Beach, CA 92647-4639
Phone (714) 334-1014
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT18207 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| One on One Physical Therapy | Physical Therapist | Current | Accepting new patients |
| California Luna Care Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
Locations
16168 Beach Blvd
Ste 251
Huntington Beach, CA 92647
Phone (714) 847-4866
16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- Huntington Beach, CA
- NPI 1164554911
Physical Therapist
-
- Physical Therapist
- Los Gatos, CA
- NPI 1689162166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636416000000",
"number": "1881725166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7662 DANUBE DR",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926474639",
"telephone_number": "714-334-1014",
"fax_number": "714-847-4866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7662 DANUBE DR",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926474639",
"telephone_number": "714-334-1014",
"fax_number": "209-780-4035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARROLL",
"first_name": "LOREN",
"middle_name": "L",
"credential": "MSPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-08",
"last_updated": "2021-11-09",
"certification_date": "2021-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT18207",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntington Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.