Individual provider Active NPI

Carly Cordano, PT

  • Physical Therapist
  • Garden City, NY
National Provider Identifier
1114686813
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13378 Issued in CT
Practice address
306 Nassau Blvd
Garden City, NY 11530-5314
Phone
(516) 208-2100
NPI assigned
Dec 10, 2021
Last updated
Dec 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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 13378 CT Primary

Addresses

Primary practice location

306 Nassau Blvd
Garden City, NY 11530-5314

Mailing address

306 Nassau Blvd
Garden City, NY 11530-5314
Phone (203) 208-2100

Other practice location 1

1064 E Main St
Meriden, CT 06450-4898
Phone (203) 250-9663

Other practice location 2

157 Litchfield St
Torrington, CT 06790-6427
Phone (203) 250-9663

Other practice location 3

382 S Main St
Cheshire, CT 06410-1379
Phone (203) 250-9663

Other practice location 4

308 Racebrook Road
Orange, CT 06477-0647
Phone (203) 920-1885

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250228001596 NY Practitioner - Physical Therapist in Private Practice 7618497082 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Soundside Physical Therapy PCGroup PAC ID 8527958164, 6 clinicians

Practice addresses (Care Compare)

146 Birch Hill Rd
Locust Valley, NY 11560-1833
Phone (516) 759-9717

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Soundside Physical Therapy P.C. Physical Therapist CurrentSince Jan 1, 2025 Accepting new patients
Cheshire Fitness Zone, LLC PastSince Dec 12, 2021 Accepting new patients

Locations

200 Robbins Ln
Unit D2
Jericho, NY 11753
Phone (516) 723-4020

146 Birch Hill Rd
Locust Valley, NY 11560
Phone (516) 723-9305

Organizations & group practices 2

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": "1639094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1114686813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 NASSAU BLVD",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305314",
            "telephone_number": "203-208-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 NASSAU BLVD",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305314",
            "telephone_number": "516-208-2100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1064 E Main St",
            "address_purpose": "LOCATION",
            "city": "Meriden",
            "state": "CT",
            "postal_code": "064504898",
            "country_code": "US",
            "telephone_number": "203-250-9663",
            "fax_number": "203-699-9641",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "157 Litchfield St",
            "address_purpose": "LOCATION",
            "city": "Torrington",
            "state": "CT",
            "postal_code": "067906427",
            "country_code": "US",
            "telephone_number": "203-250-9663",
            "fax_number": "203-699-9641",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "382 S Main St",
            "address_purpose": "LOCATION",
            "city": "Cheshire",
            "state": "CT",
            "postal_code": "064101379",
            "country_code": "US",
            "telephone_number": "203-250-9663",
            "fax_number": "203-699-9641",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "308 Racebrook Road",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CT",
            "postal_code": "064770647",
            "country_code": "US",
            "telephone_number": "203-920-1885",
            "fax_number": "203-920-1881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORDANO",
        "first_name": "CARLY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-10",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "13378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; 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.