OrganizationRichard P Carr Physical Therapy Inc(<Unavail>)Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address2039 Forest Ave, #104, San Jose, CA 95128-4817(408) 279-8501(408) 733-3670PECOS EnrollmentBased on the most recent information from CMS, provider Richard P Carr Physical Therapy Inc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1114900263Provider TypeOrganizationFull NameRichard P Carr Physical Therapy IncOther Name<Unavail>SubpartNoEnumeration Date11/22/2005Last Updated1/28/2008Contact InformationPractice LocationPractice Address2039 Forest Ave, #104, San Jose, CA 95128-4817Phone(408) 279-8501Fax(408) 279-8504Mailing LocationMailing Address246 Sobrante Way, Sunnyvale, CA 94086-4807Phone(408) 733-3670Fax(408) 245-7968Authorized OfficialNameLasson, Anne (Vice President)Phone(408) 570-0510Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted IssuerCode225XH1200XDescriptionOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID2210753DescriptionOtherIssuerFIRST HEALTHIDZZZ04942ZDescriptionOtherIssuerBLUESHIELDCalifornia