Peter Carrillo, PT

Key facts

NPI

1932124377

Entity type

Individual (NPI type 1)

Primary specialty

Physical Therapist 225100000X

License

PT26426 (CA)

Practice address

2595 W Florida Ave
Hemet, CA 92545-4615

Phone

(951) 487-9317

Fax

(951) 487-9371

NPI assigned

Jul 13, 2006

Sex

Male

Sole proprietor

Yes

Organizations & group practices 1

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.

• Cure in Home Services LLC In Home Supportive Care Agency · Beaumont, CA · NPI 1144000449
  NPD Authorized official

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 5, 2019.

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551744000000",
    "number": "1932124377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38072 AMATEUR WAY",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922238086",
            "telephone_number": "909-489-5971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2595 W FLORIDA AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925454615",
            "telephone_number": "951-487-9317",
            "fax_number": "951-487-9371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRILLO",
        "first_name": "PETER",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2019-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT26426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

• Emily Elizabeth Carper, PT DPT
• David Carrera
• Kourtney Carrigan
• Brandee Carrillo
• Crystal Carrillo
• Zulema Carrillo, PA-C
• Christopher Daniel Carroll
• Mia Elizabeth Carson, MD
• Elana Renu Carvalho
• Gerard Joaquim Carvalho, M.D.

All providers in Hemet, CA · Physical Therapist in California