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NPI Code Detail

MEDICARE: MR. BRIAN CARSON M.P.T., C.S.C.S.

MEDICARE: MR. BRIAN CARSON M.P.T., C.S.C.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist36468CA

General Provider Information

NPI Number : 1043542731
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. BRIAN CARSON M.P.T., C.S.C.S.
Provider Business Mailing Address
First Line : 1001 NEWBURY RD
Second Line :
City : NEWBURY PARK
State : CA
Zip : 91320-6434
Country : US
Telephone Number : 805-379-2322
Fax Number :
Provider Business Practice Location Address
First Line : 1001 NEWBURY RD
Second Line :
City : THOUSAND OAKS
State : CA
Zip : 91320-6434
Country : US
Telephone Number : 805-379-2322
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2010
Last Update Date : 04/02/2026

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