Individual provider Active NPI

Cara Marie Cardillo, OTR/L

  • Occupational Therapist
  • Morristown, NJ
National Provider Identifier
1508458134
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00957600 Issued in NJ
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

Updated by the provider on Dec 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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 183 clinicians

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

LicenseStateTypeSpecialty
46TR00957600NJMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sportsmed PT LLC Occupational Therapist CurrentSince Dec 3, 2021 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.

Verify at the official NPI Registry.