Carrillon

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

2078111 Issued in TX

Legal business name

CARRILLON

Practice address

1717 Norfold BLD a
Lubbock, TX 79416

Phone

(806) 281-6232

NPI assigned

Jul 27, 2015

Organization subpart

No

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

Authorized official

Name

Becca J Becton

Title

Department Manager

Phone

(806) 281-6232

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437955200000",
    "number": "1902281306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 NORFOLK AVE BLDG A",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794166065",
            "telephone_number": "806-281-6232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 NORFOLD BLD A",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "79416",
            "telephone_number": "806-281-6232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARRILLON",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-27",
        "last_updated": "2015-07-27",
        "status": "A",
        "authorized_official_last_name": "BECTON",
        "authorized_official_first_name": "BECCA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DEPARTMENT MANAGER",
        "authorized_official_telephone_number": "806-281-6232"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": "2078111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Staci Carrell
• Andrea Rochelle Carrillo
• Christopher Carrillo, LMSW
• Gabriella Carrillo
• Stephanie Colleen Carrillo, M.S., CCC-SLP
• Robert Carl Carruthers, PHARMD
• Tracey D Carruthers, PHARMD
• Branden Blake Carson, DO
• Janet Carson
• Sonya Nicole Carson, LCSW

• Physical Therapy Clinic/Center in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Physical Therapy Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2015; 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.