Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
RICHARD P CARR PHYSICAL THERAPY INC
Active
Organization
RICHARD P CARR PHYSICAL THERAPY INC
Active
Other names
Mooneyham Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE LASSON (VICE PRESIDENT)
(408) 570-0510
Entity
Organization
Contact information
Practice address
1823 SHAW AVE, STE 101, CLOVIS, CA 93611-4065
(559) 298-9120
(559) 298-0822
Mailing address
246 SOBRANTE WAY, SUNNYVALE, CA 94086-4807
(408) 733-3670
(408) 245-7968
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1835754
CIGNA
CA
01
—
ZZZ60363Z
BLUESHIELD
CA
Enumeration date
11/22/2005
Last updated
01/28/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up