MEDICARE: RICHARD P CARR PHYSICAL THERAPY INC

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
1	261QM1300X	Multi-Specialty Clinic/Center
2	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1881676377
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RICHARD P CARR PHYSICAL THERAPY INC

Provider Business Mailing Address
First Line	:	2035 CORTE DEL NOGAL STE 200
Second Line	:
City	:	CARLSBAD
State	:	CA
Zip	:	92011-1445
Country	:	US
Telephone Number	:	945-260-0010
Fax Number	:

Provider Business Practice Location Address
First Line	:	3097 MOORPARK AVE STE 100
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95128-2543
Country	:	US
Telephone Number	:	669-247-6170
Fax Number	:	669-253-2092

Authorized Official
Title or Position	:	OWNER, COO
Name	:	ROBERT PACE
Credential	:
Telephone Number	:	760-268-7500

Provider Enumeration Date	:	11/18/2005
Last Update Date	:	06/11/2025

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