Ernesto Carulla, PT

Primary specialty

SpecialistTaxonomy code 174400000X

License

5501004076 Issued in MI

Practice address

1064 W Huron St
Waterford, MI 48328-3730

Phone

(248) 681-5113

NPI assigned

May 4, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Plaine Physical Therapy, LLC

  • Specialist
  • Waterford, MI
  • NPI 1508043431
  NPD (past) Authorized official

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972715407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24152 SUSAN DR",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483362829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1064 W HURON ST",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483283730",
            "telephone_number": "248-681-5113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARULLA",
        "first_name": "ERNESTO",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "5501004076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caring 4 Loved Ones, Inc
• Kristine Marie Carlson, LLMSW AND LLCSW
• Sean Carr, MSW
• Bonnie Carrier
• Shamika E Carthane
• Case Management Servcies by Nicole Nowicki RN
• Lauren Marie Casper, LMT
• Catherine L. Herzog, PH.D., PLLC
• Catholic Charities of South Eastern Michigan
• Catholic Social Services of Oakland County

• Specialist in Waterford, MI
• Providers in Waterford, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.