KEVIN EMRALINO CARIZON (PT) – Physical Therapist, NPI 1194549600

KEVIN EMRALINO CARIZON (PT) is a healthcare provider. based in San luis obispo, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 307238 (CA). The NPI Number for KEVIN EMRALINO CARIZON (PT) is 1194549600

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN EMRALINO CARIZON (PT)
NPI
1194549600
Phone
(805) 788-0805
Address
408 HIGUERA ST STE 200
Enumeration Date
12 November 2024
Last Update Date
12 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7602020368
Graduation Year
2024 (2 years ago)
PAC ID
4880129089
Group Practice PAC ID
5698834174
Professional Enrollment ID
I20241125003548
Address ID
CA922347031CA35325DRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

Provider Addresses for KEVIN EMRALINO CARIZON (PT)

  • 408 HIGUERA ST STE 200

    SAN LUIS OBISPO, CA 934016135

    Phone: (805) 788-0805

    Fax: (805) 788-0845

    Type: Mailing

  • 35325 DATE PALM DR STE 131

    CATHEDRAL CITY, CA 922347031

    Phone: (760) 202-0368

    Fax: (760) 770-1973

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-11-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241125003548IPhysical Therapist In Private PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 93401)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5698834174View full group profile
NameSpecialtyState
-AZ
Physical Therapist In Private PracticeNC
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
-CA
Physical Therapist In Private PracticeNY
-CA
Physical Therapist In Private PracticeCA
-CA

Reviews

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Frequently asked questions

Does KEVIN EMRALINO CARIZON (PT) have a public NPI I can cite?
Public records show KEVIN EMRALINO CARIZON (PT) under NPI 1194549600.
Does the public listing show KEVIN EMRALINO CARIZON (PT) as active?
KEVIN EMRALINO CARIZON (PT)'s NPI record reflects an active status in NPPES.
Which specialty label fits KEVIN EMRALINO CARIZON (PT)?
NPPES ties KEVIN EMRALINO CARIZON (PT) to Physical Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to KEVIN EMRALINO CARIZON (PT)?
KEVIN EMRALINO CARIZON (PT) shows a connection to San Luis Obispo, California in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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