Individual provider Active NPI

Gregory Carroll, PT

  • Physical Therapist
  • Norristown, PA
National Provider Identifier
1063880649
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT024716 Issued in PA
Practice address
2660B Egypt Rd
Norristown, PA 19403-2302
Phone
(484) 391-2252
Fax
(610) 666-0295
NPI assigned
Sep 13, 2015
Last updated
Jan 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT024716 PA Primary

Addresses

Primary practice location

2660B Egypt Rd
Norristown, PA 19403-2302

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151014000963 PA Practitioner - Physical Therapist in Private Practice 5991014912 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ati Holdings, LLCGroup PAC ID 9537112719, 440 clinicians

Practice addresses (Care Compare)

160 Morton Ave
Folsom, PA 19033-2510
Phone (414) 496-2683

5038 Pennell Rd
Aston, PA 19014-1868
Phone (610) 833-4600

519 E Baltimore Pike
Media, PA 19063-3509
Phone (484) 441-0622

815 Lansdowne Ave
Unit 1006
Upper Darby, PA 19082-5438
Phone (484) 452-2591

9475 E Roosevelt Blvd
Philadelphia, PA 19114-2212
Phone (215) 464-6200

Merit-based Incentive Payment System (MIPS)

Final score
86.05 of 100Reported as group
Quality
89.12
Improvement activities
40
Cost
73.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT024716PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehabilitation Services Inc Physical Therapist CurrentSince Feb 26, 2018 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Sep 3, 2015 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Sep 3, 2015 Accepting new patients
Ati Holdings, LLC Physical Therapist Past Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

44 W Skippack Pike
Ambler, PA 19002
Phone (267) 419-2020

5038 Pennell Rd
Aston, PA 19014
Phone (610) 833-4600

160 Morton Ave
Folsom, PA 19033
Phone (414) 496-2683

826 E Baltimore Pike
Unit 9
Kennett Square, PA 19348
Phone (610) 335-1410

470 N Lewis Rd
Limerick, PA 19468
Phone (610) 792-8800

519 E Baltimore Pike
Media, PA 19063
Phone (484) 441-0622

20 N Newtown Street Rd
Ste 200
Newtown Square, PA 19073
Phone (484) 420-2680

2660B Egypt Rd
Norristown, PA 19403
Phone (484) 391-2252

9475 Roosevelt Blvd
Philadelphia, PA 19114
Phone (215) 464-6200

682 N West End Blvd
Quakertown, PA 18951
Phone (215) 892-1829

118 Townsedge Dr
Quarryville, PA 17566
Phone (717) 806-5126

1810 E Ridge Pike
Ste 102
Royersford, PA 19468
Phone (484) 902-1460

815 Lansdowne Ave
Unit 1006
Upper Darby, PA 19082
Phone (484) 452-2591

1122 Highway 315 Blvd
Wilkes Barre, PA 18702
Phone (877) 407-4322

Organizations & group practices 4

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": "1442102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1063880649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660B EGYPT RD",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194032302",
            "telephone_number": "484-391-2252",
            "fax_number": "610-666-0295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "GREGORY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-13",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT024716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norristown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.