NICOLAS SHIGEAKI CARRILLO (NPI# 1144749706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144749706 |
| Entity Type | Individual |
| Full Name | NICOLAS SHIGEAKI CARRILLO |
| Practice Address |
4435 Eastgate Mall Ste 120 San Diego CA 92121-1980 |
| Mailing Address |
3 Abbey Ct Walnut Creek CA 94595-1001 |
| Practice Telephone | 8585878669 |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2017-09-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4435 EASTGATE MALL STE 120 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92121-1980 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932213188 | Yousef Issa Ghandour | Physical Therapist | 4435 Eastgate Mall Ste 120, San Diego, CA 92121-1980 | 2006-08-17 |
| 1043856917 | Darren Dalisay | Physical Therapy Assistant | 4435 Eastgate Mall Ste 120, San Diego, CA 92121-1980 | 2019-11-25 |
| 1821561309 | Maryrose Pharo | Physical Therapy Assistant | 4435 Eastgate Mall Ste 120, San Diego, CA 92121-1980 | 2019-01-07 |
| 1790267631 | Dara Maria Ching | Physical Therapist | 4435 Eastgate Mall Ste 120, San Diego, CA 92121-1980 | 2018-09-06 |
| 1023535069 | Ilana Cartun | Physical Therapist | 4435 Eastgate Mall Ste 120, San Diego, CA 92121-1980 | 2017-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225644917 | Anna Hand | Physical Therapist | 5945 Pacific Center Blvd Bldg #510, San Diego, CA 92121 | 2020-09-18 |
| 1972138030 | Lamarr Joyner | Licensed Vocational Nurse | 5930 Conerstone Court West, Suite 300, San Diego, CA 92121 | 2020-03-10 |
| 1396383212 | La Jolla Professional Plastic Surgery | Plastic Surgery | 4510 Executive Dr. Suite 105, San Diego, CA 92121 | 2019-12-11 |
| 1841852472 | Unmanned Systems Operations Group | Air Carrier | 4655 Executive Dr., Suite 700, San Diego, CA 92121 | 2019-07-03 |
| 1861051922 | Grace Getchell | Behavior Technician | 3978 Sorrento Valley Blvd. #100, San Diego, CA 92121 | 2019-06-11 |
| 1720643299 | Megan Jean Bathen | Behavior Technician | Cortica Behavioral Inc., 7090 Miratech Dr., San Diego, CA 92121 | 2019-05-09 |
| 1346804366 | Daniel Melita | Massage Therapist | 11689 Sorrento Valley Rd Ste Q, San Diego, CA 92121 | 2019-04-25 |
| 1831674464 | Stepahnie Becerra | Behavior Technician | 3978 Sorrento Valley Blvd Suite 100, San Diego, CA 92121 | 2018-09-28 |
| 1265915466 | Ailyn Martinez | Behavior Technician | 3978 Sorrento Valley Bldv, 100, San Diego, CA 92121 | 2018-09-13 |
| 1790265163 | Genben Lifesciences Corporation | Public Health or Welfare | 6370 Lusk Blvd Ste F205, San Diego, CA 92121 | 2018-08-15 |
| Find all providers in zip 92121 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225644917 | Anna Hand | Physical Therapist | 5945 Pacific Center Blvd Bldg #510, San Diego, CA 92121 | 2020-09-18 |
| 1760097836 | Eileen Salonga | Physical Therapist | 3840 Pendiente Ct Apt U103, San Diego, CA 92124-3726 | 2020-09-15 |
| 1356953608 | Holly Alves | Physical Therapist | 3850 Xenophon St, San Diego, CA 92107-1615 | 2020-08-18 |
| 1982216461 | Mallari Snyder Physical Therapy P.C. | Physical Therapist | 3636 4th Ave Ste 200, San Diego, CA 92103-4237 | 2020-08-17 |
| 1639780851 | Jaime Zinn | Physical Therapist | 7760 Pipit Pl, San Diego, CA 92129-4528 | 2020-08-11 |
| 1134737570 | Louis Noel Quintana | Physical Therapist | 1615 32nd St, San Diego, CA 92102-1607 | 2020-07-22 |
| 1467070821 | Dionisio Wilkins | Physical Therapist | 3455 Kearny Villa Rd Apt 158, San Diego, CA 92123-1975 | 2020-07-10 |
| 1730706862 | Function In Movement Physical Therapy | Physical Therapist | 1351 Reed Ave Apt 1, San Diego, CA 92109-5133 | 2020-07-06 |
| 1255956876 | Melanie Elizabeth Hoad | Physical Therapist | 7858 Cowles Mountain Ct Unit D11, San Diego, CA 92119-2549 | 2020-06-09 |
| 1265056006 | Michael Andrew Williams | Physical Therapist | 11165 Caminito Vista Serena, San Diego, CA 92131-3304 | 2020-06-07 |
| Find all providers in SAN DIEGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.