Christopher Eugene Carter, DPT

Individual provider Active NPI Physical Therapist · Capistrano Beach, CA

NPI 1972200152 · NPPES record last updated Feb 8, 2023

Key facts

NPI
1972200152
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
296147 (CA)
Practice address
35410 Del Rey
Capistrano Beach, CA 92624-1814
Phone
(949) 496-5786
NPI assigned
Feb 8, 2023
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
296147CAMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 296147 CA Yes

Addresses

Primary practice location

35410 Del Rey
Capistrano Beach, CA 92624-1814

Mailing address

536 Grand Canal
Irvine, CA 92620-1881
Phone (910) 398-4174

Other providers in Capistrano Beach, CA

All providers in Capistrano Beach, CA · Physical Therapist in California

Sources for this page

Verify at the official NPI Registry.