Individual provider Active NPI

Edmond Francis Cardinal Jr., MSPT

  • Orthopedic Physical Therapist
  • Mystic, CT
National Provider Identifier
1013049717
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
0077350 Issued in CT
Practice address
11 Main St
Mystic, CT 06355-3641
Phone
(860) 334-4229
NPI assigned
Mar 9, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 0077350 CT Primary
Orthopedic Physical Therapist 2251X0800X PT01926 RI

Addresses

Primary practice location

11 Main St
Mystic, CT 06355-3641

Mailing address

11 Main St
Mystic, CT 06355-3641
Phone (860) 334-4229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230718002638 NC Practitioner - Physical Therapist in Private Practice 3274568902 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physio, Inc.Group PAC ID 1456508456, 13 clinicians

Practice addresses (Care Compare)

660 Merrimon Ave
Suite C
Asheville, NC 28804-3567
Phone (828) 348-1780

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0077350CTMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Physical Therapy of North Carolina LLC Orthopedic CurrentSince Jun 5, 2023 Accepting new patients
Benchmark Physical Therapy of NC, LLC Orthopedic CurrentSince Jun 5, 2023 Accepting new patients
Physio, Inc. Orthopedic CurrentSince May 17, 2024 Accepting new patients
Bonita Springs Sports & Physical Therapy Center Inc PastSince Oct 6, 2010 Accepting new patients
Physio, Inc. Past Accepting new patients
Napatree Physical Therapy Inc Past Accepting new patients
Napatree Physical Therapy Inc PastSince Feb 5, 2012 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

660 Merrimon Ave
Ste C
Asheville, NC 28804
Phone (800) 922-9280

10020 Monroe Rd
Ste 160
Matthews, NC 28105
Phone (704) 841-0894

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013049717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 MAIN ST",
            "city": "MYSTIC",
            "state": "CT",
            "postal_code": "063553641",
            "telephone_number": "860-334-4229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 MAIN ST",
            "city": "MYSTIC",
            "state": "CT",
            "postal_code": "063553641",
            "telephone_number": "860-334-4229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDINAL",
        "first_name": "EDMOND",
        "middle_name": "FRANCIS",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CT",
            "license": "0077350",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "RI",
            "license": "PT01926",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mystic, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.