Active NPI
Cara Marie Cardillo, OTR/L
- Occupational Therapist
- Morristown, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 46TR00957600
- Practice address
- 77 Madison Ave
Morristown, NJ 07960-7330 - Phone
- (973) 540-9800
- NPI assigned
- Feb 4, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 46TR00957600 | NJ | Primary |
Addresses
Primary practice location
77 Madison Ave
Morristown, NJ 07960-7330
Mailing address
253 5TH St Apt 4
Jersey City, NJ 07302-7435
Phone (908) 406-0021
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220118001626 | NJ | Practitioner - Occupational Therapist in Private Practice | 3173915444 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Boston University School of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sportsmed PT LLC
Practice addresses (Care Compare)
110 Edison PL
Suite 100
Newark, NJ 07102-4910
Phone (973) 718-7234
1233 Main Ave
Clifton, NJ 07011-2241
Phone (973) 928-1144
211 Berdan Ave
Wayne, NJ 07470-3236
Phone (201) 249-6930
218 Bloomfield Ave
Bloomfield, NJ 07003-5741
Phone (973) 750-0880
266 Harristown Rd
Suite 200
Glen Rock, NJ 07452-3354
Phone (201) 445-7000
85 New Rd
Sportsmed Physical Therapy
Parsippany, NJ 07054-4235
Phone (973) 363-4290
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46TR00957600 | NJ | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sportsmed PT LLC | Occupational Therapist | Current | Accepting new patients |
Locations
266 Harristown Rd
Ste 304
Glen Rock, NJ 07452
Phone (201) 345-5798
110 Edison Pl
Ste 100
Newark, NJ 07102
Phone (973) 604-0145
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639440000000",
"number": "1508458134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "253 5TH ST APT 4",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073027435",
"telephone_number": "908-406-0021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 MADISON AVE",
"city": "MORRISTOWN",
"state": "NJ",
"postal_code": "079607330",
"telephone_number": "973-540-9800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARDILLO",
"first_name": "CARA",
"middle_name": "MARIE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-04",
"last_updated": "2021-12-14",
"certification_date": "2021-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NJ",
"license": "46TR00957600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morristown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; 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.