Kevin Emralino Carizon, PT
Physical Therapist in Cathedral City, CA. Individual provider (NPI-1).
NPI number1194549600
StatusActive
Last updated in NPPESMay 12, 2025
Details
- NPI
- 1194549600
- Entity type
- Individual (NPI-1)
- Name
- Kevin Emralino Carizon
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 12, 2024
- Certification date
- May 12, 2025
- Last updated
- May 12, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 307238 | CA | Yes |
Practice location
35325 Date Palm Dr Ste 131Cathedral City, CA 92234-7031
Phone 760-202-0368 · Fax 760-770-1973
Mailing address
408 Higuera St Ste 200San Luis Obispo, CA 93401-6135
Phone 805-788-0805 · Fax 805-788-0845
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 33 Physical Therapist providers in Cathedral City · All 526 providers in Cathedral City
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