Mary Neubelt Cardarelli

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

004655 Issued in CT

Practice address

22 South St
Vernon, CT 06066-4553

Phone

(860) 875-0771

NPI assigned

Jul 14, 2011

Last updated

Jul 14, 2011By 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 2

Addresses

Other names 1

• Miss Mary Ann Neubelt Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1310601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310601600000",
    "number": "1487942231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 HORTON RD",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060422870",
            "telephone_number": "860-646-5856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 SOUTH ST",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060664553",
            "telephone_number": "860-875-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDARELLI",
        "first_name": "MARY",
        "middle_name": "NEUBELT",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-14",
        "last_updated": "2011-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "004655",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CT",
            "license": "000091",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "NEUBELT",
            "middle_name": "ANN",
            "prefix": "MISS",
            "credential": "P.T.,  A.T.,C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tracy Bylan, PA
• C.B.R.T.,LLC
• Stephen B Callis, LMT
• Eric Anthony Camyre, D.O
• Timothy J. Caouette, APRN
• Kelly Marie Carucci, PHARMD
• Jennifer Ann Caruso, PSY.D.
• Andrew David Castillo, LPC
• Alfred A Caudullo, D.O.
• Louise Giammona Caudullo, D.O.

• Physical Therapist in Vernon, CT
• Providers in Vernon, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2011; 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.