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

Phillip Carroll, CO

Individual provider Orthotist · NPI 1295970796

Phillip Carroll, CO is an Orthotist in Modesto, California. Licensed in California. Registered with an NPI since 2008.

Licensed in
CA
In the registry since
2008
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Practice location Address checks out

1130 Coffee Rd Ste B
Modesto, CA 95355-4228
Phone: (209) 549-1000
Fax: (209) 549-1016
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthotist (primary) Taxonomy 222Z00000X · Licence CO002162 (CA)

Record details

NPI number1295970796
Entity typeIndividual (Type 1)
GenderMale
Credentials CO
Sole proprietorNo
NPI enumeratedDecember 11, 2008
Last updated in NPPESDecember 11, 2008
Mailing address693 Hi Tech Pkwy, Oakdale, CA 95361-9113

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