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

Rafael Carlos, DPT

Individual provider Physical Therapist · NPI 1093400707

Rafael Carlos, DPT is a Physical Therapist in Lodi, California. Licensed in California and New York. Registered with an NPI since 2023.

Licensed in
CA, NY
In the registry since
2023
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

2000 W Kettleman Ln Ste 106
Lodi, CA 95242-4334
Phone: (209) 207-0849
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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 305524 (CA)
Physical Therapist Taxonomy 225100000X · Licence 044165 (NY)

Record details

NPI number1093400707
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedApril 7, 2023
Last updated in NPPESFebruary 1, 2024
Certification dateFebruary 1, 2024
Mailing address1742 S Breezy Meadow Dr, Sacramento, CA 95834-2683

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