TREVOR E CARLSON PT NPI 1982980082

NPI Information

NPI: 1982980082
Provider Name: TREVOR E CARLSON, PT
Classification: Specialist - 174400000X
Entity Type: Individual
Organization: EUREKA PHYSICAL THERAPY Address:
1585 HEARTWOOD DR STE H
MCKINLEYVILLE, CA
ZIP 95519
Phone: (707) 839-1802
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Trevor E Carlson, PT is a specialist in Mckinleyville, CA with 13 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Trevor E Carlson, PT NPI is 1982980082. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1585 HEARTWOOD DR STE H
MCKINLEYVILLE, CA
ZIP 95519-993
Phone: (707) 839-1802
Fax: (707) 839-3507

The enumeration date for this NPI number is 11/2/2011 and was last updated on 4/19/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		PT38366	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	ZZZ18022Z	MEDICARE PIN	CALIFORNIA
2	38366	OTHER	CALIFORNIA	LICENSE
3	ZZZ26450Z	MEDICARE PIN	CALIFORNIA
4	CH2219	OTHER	CALIFORNIA	RR MEDICARE #
5	ZZZ18018Z	MEDICARE PIN	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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