Individual provider Active NPI

Carolyn N Mader, DPT

  • Physical Therapist
  • Harrisburg, PA
National Provider Identifier
1437423829
Registry record updated Oct 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-019454 Issued in PA
Practice address
2805 Old Post Rd
Suite 110
Harrisburg, PA 17110-3675
Phone
(717) 635-2030
Fax
(717) 635-2029
NPI assigned
Mar 2, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2016

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 PT-019454 PA Primary

Addresses

Primary practice location

2805 Old Post Rd
Suite 110
Harrisburg, PA 17110-3675

Mailing address

5300 Derry St
2ND Floor
Harrisburg, PA 17111-3576
Phone (717) 839-2110

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120322000253 PA Practitioner - Physical Therapist in Private Practice 6204096639 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2805 Old Post Rd
Suite 110
Harrisburg, PA 17110-3676
Phone (717) 635-2030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-019454PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy Institute LLC Physical Therapist CurrentSince Feb 24, 2012 Accepting new patients
Drayer Physical Therapy Institute LLC Physical Therapist Current Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

202 Westminster Dr
Ste A
Carlisle, PA 17013
Phone (717) 906-5001

3 Jennifer Ct
Ste A
Carlisle, PA 17015
Phone (717) 243-0271

2805 Old Post Rd
Ste 110
Harrisburg, PA 17110
Phone (717) 635-2030

5000 Commons Dr
Harrisburg, PA 17112
Phone (717) 234-9622

8205 Presidents Dr
#2
Hummelstown, PA 17036
Phone (717) 803-2560

Organizations & group practices 2

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": "1330646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476835200000",
    "number": "1437423829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 DERRY ST",
            "address_2": "2ND FLOOR",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171113576",
            "telephone_number": "717-839-2110",
            "fax_number": "717-565-1934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 OLD POST RD",
            "address_2": "SUITE 110",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171103675",
            "telephone_number": "717-635-2030",
            "fax_number": "717-635-2029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADER",
        "first_name": "CAROLYN",
        "middle_name": "N",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-02",
        "last_updated": "2016-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT-019454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; 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.