Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Heather Marie Carrillo, PT, ATC

Individual provider Physical Therapist · NPI 1487616215

Heather Marie Carrillo, PT, ATC is a Physical Therapist in LA Mesa, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

5540 Lake Park Way
LA Mesa, CA 91942-1607
Phone: (619) 667-8644
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT 28760 (CA)

Record details

NPI number1487616215
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , ATC
Sole proprietorNo
NPI enumeratedApril 5, 2006
Last updated in NPPESJuly 13, 2026

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