Joseph Carroll, PT

Individual provider Active NPI Physical Therapist · Mashpee, MA

NPI 1104807437 · NPPES record last updated Aug 15, 2013

Key facts

NPI
1104807437
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
4777 (MA)
Practice address
800 Route 28
Summerfield Park
Mashpee, MA 02649-3303
Phone
(508) 477-4800
Fax
(508) 477-5377
NPI assigned
Nov 14, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carroll Physical Therapy (11 clinicians)

Practice addresses (Care Compare)

735 Attucks LN
Hyannis, MA 02601-1867
Phone (508) 778-5000

Merit-based Incentive Payment System (MIPS)

Final score
72.02 of 100 (group)
Quality
47.65
Improvement activities
40
Cost
76.54

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20070924000573 MA Practitioner - Physical Therapist in Private Practice 1658340591 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
4777MAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Carroll Physical Therapy Physical Therapist Current
since Jun 20, 1999
Accepting new patients

Locations

735 Attucks Ln
Hyannis, MA 02601
Phone (508) 778-0300

168 Industrial Dr
Ste 5
Mashpee, MA 02649
Phone (508) 477-4800

800 Route 28
Ste 103C
Mashpee, MA 02649
Phone (508) 477-4800

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4777 MA Yes

Addresses

Primary practice location

800 Route 28
Summerfield Park
Mashpee, MA 02649-3303

Mailing address

800 Route 28
Summerfield Park
Mashpee, MA 02649-3303
Phone (508) 477-4800

Other providers in Mashpee, MA

All providers in Mashpee, MA · Physical Therapist in Massachusetts

Sources for this page

Verify at the official NPI Registry.