Monica Marie Carrazco, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT37384 Issued in CA

Practice address

3908 Valley Ave
Ste. B
Pleasanton, CA 94566-4872

Phone

(925) 417-8005

Fax

(925) 417-8881

NPI assigned

Dec 27, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Ida L Coryell Hirst

  • Physical Therapist
  • Pleasanton, CA
  • NPI 1861494031
  NPD (past)

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

{
    "created_epoch": "1293408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293408000000",
    "number": "1912201484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3908 VALLEY AVE",
            "address_2": "STE. B",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945664872",
            "telephone_number": "925-417-8005",
            "fax_number": "925-417-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3908 VALLEY AVE",
            "address_2": "STE. B",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945664872",
            "telephone_number": "925-417-8005",
            "fax_number": "925-417-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRAZCO",
        "first_name": "MONICA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-27",
        "last_updated": "2010-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT37384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY BOARD OF CALIFORNIA",
            "identifier": "PT37384",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Careon Healthcare Bay Area Inc.
• John Charles Carman, DDS
• Uziel Caro
• Yastin Caro
• Kristin Carothers
• Michelle Andaluz Carriedo
• Connor K Carroll
• Lilla Carter
• Patricia Sims Carter, M.D.
• Richard D. Carvolth, MD

• All providers in Pleasanton, CA
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2010; 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.