Active NPI
Jonathan Carroll, D.P.T.
- Physical Therapist
- Mashpee, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 19258
- Practice address
- 800 Falmouth Rd
103C Summerfiled Park
Mashpee, MA 02649-3303 - Phone
- (508) 477-4800
- Fax
- (508) 477-5377
- NPI assigned
- Sep 8, 2010
- Last updated
- Nov 17, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 19258 | MA | Primary |
Addresses
Primary practice location
800 Falmouth Rd
103C Summerfiled Park
Mashpee, MA 02649-3303
Mailing address
168 Industrial Dr
Unit 5
Mashpee, MA 02649-3562
Phone (508) 477-4800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Boston University School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
168 Industrial Dr
Suite 5
Mashpee, MA 02649-3562
Phone (508) 477-4800
Merit-based Incentive Payment System (MIPS)
- Final score
- 73.62 of 100
- Quality
- 48.42
- Improvement activities
- 40
- Cost
- 80.84
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19258 | MA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carroll Physical Therapy | Physical Therapist | Current | Accepting new patients |
Locations
735 Attucks Ln
Hyannis, MA 02601
Phone (508) 778-0300
168 Industrial Dr
Ste 5
Mashpee, MA 02649
Phone (508) 477-4800
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, 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": "1283904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510876800000",
"number": "1356658637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "168 INDUSTRIAL DR",
"address_2": "UNIT 5",
"city": "MASHPEE",
"state": "MA",
"postal_code": "026493562",
"telephone_number": "508-477-4800",
"fax_number": "508-477-5377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 FALMOUTH RD",
"address_2": "103C SUMMERFILED PARK",
"city": "MASHPEE",
"state": "MA",
"postal_code": "026493303",
"telephone_number": "508-477-4800",
"fax_number": "508-477-5377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARROLL",
"first_name": "JONATHAN",
"credential": "D.P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-09-08",
"last_updated": "2017-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "19258",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mashpee, MA
- Cape Cod Hand Surgery, PC
- Cape Cod Surgery Center, Inc.
- Cape Therapy Network, LLC (Cape Kids Therapy & Sensory Center)
- John Christopher Carr, R PH
- Carroll Physical Therapy (Cape Cod Rehabilitation)
- Joseph Carroll, PT
- Kathleen Mary Carroll, NURSE PRACTITIONER
- Kathryn Carroll, PT
- David Carter, MACOM
- Sarah Rachel Carvalho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2017; 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.