Individual provider Active NPI

John Carr, DPT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1538633201
Registry record updated Jan 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
62404007 Issued in NY
Practice address
200 Park Ave
New York, NY 10166-0005
Phone
(212) 953-9494
Fax
(212) 682-2013
NPI assigned
Jan 16, 2019
Last updated
Jan 16, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2019

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 62404007 NY Primary

Addresses

Primary practice location

200 Park Ave
New York, NY 10166-0005

Mailing address

200 Park Ave
New York, NY 10166-0005
Phone (212) 953-9494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190129001803 NY Practitioner - Physical Therapist in Private Practice 3971840935 Reassigns benefits to 1 organization
I20190221000242 CT Practitioner - Physical Therapist in Private Practice 3971840935 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivyrehab Connecticut IncGroup PAC ID 8325203649, 71 clinicians

Practice addresses (Care Compare)

101 N Plains Industrial Rd
Wallingford, CT 06492-2360
Phone (203) 265-0018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
041007NYMDPharmacist
62404007NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Connecticut, Inc. Physical Therapist CurrentSince Feb 8, 2019 Accepting new patients
Recovery Physical Therapy,PC Physical Therapist CurrentSince Jan 22, 2019 Accepting new patients
Recovery Physical Therapy, P.C. Physical Therapist CurrentSince Jan 22, 2019 Accepting new patients
Recovery Physical Therapy, PC Physical Therapist Past Accepting new patients
Edra Stern MD LLC PastSince Jan 27, 2018 Accepting new patients

Locations

1455 E Putnam Ave
Ste 2
Old Greenwich, CT 06870
Phone (203) 661-4242

101 N Plains Rd
Wallingford, CT 06492
Phone (203) 265-0018

1385 Boston Post Rd
Larchmont, NY 10538
Phone (914) 315-1800

118 E 28th St
Rm 208
New York, NY 10016
Phone (646) 654-7835

200 Park Ave
New York, NY 10166
Phone (212) 953-9494

Organizations & group practices 5

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": "1547596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547596800000",
    "number": "1538633201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101660005",
            "telephone_number": "212-953-9494",
            "fax_number": "212-682-2013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101660005",
            "telephone_number": "212-953-9494",
            "fax_number": "212-682-2013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "JOHN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-16",
        "last_updated": "2019-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "62404007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; 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.