Organization Active NPI

Caruso PT

  • Physical Medicine & Rehabilitation Physician
  • New Hartford, NY
National Provider Identifier
1205488640
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
CARUSO PT
Practice address
3917 Oneida St
New Hartford, NY 13413-8900
Phone
(315) 404-4217
NPI assigned
Jul 16, 2019
Last updated
May 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Authorized official

Name
Carrie A Caruso-Rahn, PTNPI 1205262649
Title
Owner
Phone
(315) 404-4217

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X NU Primary

Addresses

Primary practice location

3917 Oneida St
New Hartford, NY 13413-8900

Mailing address

3917 Oneida St
New Hartford, NY 13413-8900
Phone (315) 404-4217

Other identifiers 1

IdentifierTypeStateIssuer
03783144MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190830000332 NY Part B Supplier - Clinic/Group Practice 3870821739 Receives reassigned benefits from 7 practitioners
Practice locations: New Hartford, NY

National Provider Directory

National Provider Directory

Locations

24 Genesee St
New Hartford, NY 13413

3917 Oneida St
New Hartford, NY 13413
Phone (315) 404-4217

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1563235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1205488640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3917 ONEIDA ST",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134138900",
            "telephone_number": "315-404-4217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3917 ONEIDA ST",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134138900",
            "telephone_number": "315-404-4217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARUSO PT",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-16",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A",
        "authorized_official_last_name": "CARUSO-RAHN",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-404-4217",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03783144",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hartford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.