Provider Demographics
NPI:1902933005
Name:PARROTT, PHILIP ERIC (RPT)
Entity Type:Individual
Prefix:MR
First Name:PHILIP
Middle Name:ERIC
Last Name:PARROTT
Suffix:
Gender:M
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3201 LOCKSLEY CT
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95350-1428
Mailing Address - Country:US
Mailing Address - Phone:209-402-4983
Mailing Address - Fax:209-544-9599
Practice Address - Street 1:3201 LOCKSLEY CT
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95350-1428
Practice Address - Country:US
Practice Address - Phone:209-402-4983
Practice Address - Fax:209-544-9599
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2020-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT18810225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ29650ZMedicare PIN