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NPI Code Detail

MEDICARE: CARRERA PHYSICAL THERAPY AND WELLNESS PC

MEDICARE: CARRERA PHYSICAL THERAPY AND WELLNESS PC
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 Therapist

General Provider Information

NPI Number : 1073468195
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARRERA PHYSICAL THERAPY AND WELLNESS PC
Provider Business Mailing Address
First Line : 4934 LANKERSHIM BLVD
Second Line :
City : NORTH HOLLYWOOD
State : CA
Zip : 91601-4443
Country : US
Telephone Number : 818-308-7061
Fax Number : 818-664-4070
Provider Business Practice Location Address
First Line : 4934 LANKERSHIM BLVD
Second Line :
City : NORTH HOLLYWOOD
State : CA
Zip : 91601-4443
Country : US
Telephone Number : 818-308-7061
Fax Number : 818-664-4070
Authorized Official
Title or Position : PRESIDENT
Name : CARLOS CARRERA
Credential : PT
Telephone Number : 818-308-7061
Provider Enumeration Date : 03/03/2026
Last Update Date : 03/03/2026

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Directions to “CARRERA PHYSICAL THERAPY AND WELLNESS PC ” Practice Location

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