Provider Demographics
NPI:1275712135
Name:AUXIER-LOYOLA, CARLOS A (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:A
Last Name:AUXIER-LOYOLA
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:195 BEDFORD AVE
Mailing Address - Street 2:UNIT 1
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11211-2900
Mailing Address - Country:US
Mailing Address - Phone:718-384-6281
Mailing Address - Fax:212-937-3540
Practice Address - Street 1:195 BEDFORD AVE.
Practice Address - Street 2:UNIT 1
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11211-2900
Practice Address - Country:US
Practice Address - Phone:718-384-6281
Practice Address - Fax:212-937-3540
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-29
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY029706-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist