Mary Elizabeth Carroll, PT DPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

40QA00776700 Issued in NJ

Practice address

15 Halko Dr
Cedar Knolls, NJ 07927-1306

Phone

(973) 829-8484

NPI assigned

May 4, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Life Home Therapy LLCGroup PAC ID 1254746340, 50 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Life Home Therapy LLC

  • Physical Therapist
  • Livingston, NJ
  • NPI 1467048777

  Pediatrics

  Medicare reassignment Care Compare group NPD
• Diagnostix Physical Therapy and Rehabilitation

  dba Diagnostix Physical Therapy

  • Physical Therapy Clinic/Center
  • Pompton Lakes, NJ
  • NPI 1871101956

  Pediatrics

  Medicare reassignment NPD
• Pearl Rehabilitation LLC

  • Physical Medicine & Rehabilitation Physician
  • Shrewsbury, NJ
  • NPI 1225630122
  Medicare reassignment NPD
• At Home by Enhance Therapies LLC

  • Physical Therapist
  • Lakewood, NJ
  • NPI 1124603246

  Pediatrics

  NPD
• Parker Creek Neurorehabilitation

  • Physical Therapy Clinic/Center
  • Little Silver, NJ
  • NPI 1740743467
  NPD (past)

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357430400000",
    "number": "1184836694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 TARN DR",
            "city": "MORRIS PLAINS",
            "state": "NJ",
            "postal_code": "079502755",
            "telephone_number": "201-400-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 HALKO DR",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "079271306",
            "telephone_number": "973-829-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "PT DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2013-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NJ",
            "license": "40QA00776700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Catherine Burd, APN
• Dorothy Buznitsky, MSW, LSW
• Jeffrey Camacho
• Dylan Jagger Camp, PT, DPT
• Frank Mark Capella, D.C.
• Yazmin Casano
• Sarah Caughy
• Cedarknollsdentalgroupllc
• Jennifer Cela, RN
• Andrew Cenophat

• Pediatric Physical Therapist in Cedar Knolls, NJ
• Providers in Cedar Knolls, NJ by specialty
• Pediatric Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2013; 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.