Individual provider Active NPI

Jonathan Carroll, D.P.T.

  • Physical Therapist
  • Mashpee, MA
National Provider Identifier
1356658637
Registry record updated Nov 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
19258 Issued in MA
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, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20101230000241 MA Practitioner - Physical Therapist in Private Practice 8022206341 Reassigns benefits to 1 organization

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
Carroll Physical TherapyGroup PAC ID 6204805146, 11 clinicians

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 100Reported as individual
Quality
48.42
Improvement activities
40
Cost
80.84

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19258MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Carroll Physical Therapy Physical Therapist CurrentSince Oct 6, 2010 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

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.

Verify at the official NPI Registry.