Individual provider Active NPI

Carol Stillman, P.T.

  • Specialist
  • New York, NY
National Provider Identifier
1164445441
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
004161-1 Issued in NY
Practice address
333 E 56TH St
New York, NY 10022-3758
Phone
(212) 317-1600
Fax
(212) 317-9855
NPI assigned
Jul 26, 2006
Sex
Female
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 004161-1 NY Primary

Addresses

Primary practice location

333 E 56TH St
New York, NY 10022-3758

Mailing address

333 E 56TH St
New York, NY 10022-3758
Phone (212) 317-1600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050902000423 NY Practitioner - Physical Therapist in Private Practice 7214922418 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sutton Place Physical Therapy PCGroup PAC ID 8921999046, 13 clinicians

Practice addresses (Care Compare)

333 E 56TH St
New York, NY 10022-3758
Phone (212) 317-1600

Merit-based Incentive Payment System (MIPS)

Final score
89.17 of 100Reported as individual
Quality
78.33
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4161NYMDAddiction (Substance Use Disorder) Counselor
004161-1NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Sutton Place Physical Therapy PC Single Specialty CurrentSince Sep 3, 1998 Accepting new patients

Locations

333 E 56th St
Ofc 1
New York, NY 10022
Phone (212) 289-3236

333 E 56th St
New York, NY 10022
Phone (212) 308-2540

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.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164445441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 E 56TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100223758",
            "telephone_number": "212-317-1600",
            "fax_number": "212-317-9855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E 56TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100223758",
            "telephone_number": "212-317-1600",
            "fax_number": "212-317-9855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILLMAN",
        "first_name": "CAROL",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "004161-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

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.