Mary Lou Carlucci, MPSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

020262-1 Issued in NY

Practice address

122 W Court St
Ithaca, NY 14850-4165

Phone

(607) 591-1591

Fax

(607) 273-1738

NPI assigned

Mar 5, 2009

Last updated

Jul 21, 2022By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Alise Chiropractic Health & Wellness, PLLC

  • Chiropractor
  • Ithaca, NY
  • NPI 1578736385
  NPD (past)
• Court St. Chiropractic of Ithaca, P.C.

  • Chiropractor
  • Ithaca, NY
  • NPI 1245256882
  NPD (past)
• Court Street Chiropractic of Ithaca, P.C.

  • Chiropractor
  • Ithaca, NY
  • NPI 1942305743
  NPD (past)
• Crystal City Physical Therapy, RLLP

  • Physical Therapist
  • Corning, NY
  • NPI 1861467391
  NPD (past)
• Finger Lakes Physical Therapy PC

  • Specialist
  • Ithaca, NY
  • NPI 1720034093

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1236211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1356581250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 W KING RD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148508631",
            "telephone_number": "607-273-0724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 W COURT ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148504165",
            "telephone_number": "607-591-1591",
            "fax_number": "607-273-1738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLUCCI",
        "first_name": "MARY LOU",
        "credential": "MPSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "020262-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McKenna Cardinal
• Kate Warner Cardona
• Elizabeth Farr Carey, PSY.D.
• Susan Carlisle, RPA-C
• Suzanne Carlsson
• John Carmichael
• Julie Elizabeth Carpenter, RN
• Jessica Dale Carr, NP
• Karen Casey Carr, LCSW
• Kimberly A Carr, LMSW

• Physical Therapist in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.