Anthony Carroll, PT, DPT, CSCS

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

J1-0002558 Issued in DE

Practice address

063 East Delaware Ave
053 McKinly Lab
Newark, DE 19716

Phone

(302) 831-8893

NPI assigned

Feb 8, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elite PT LLCGroup PAC ID 7315032711, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Elite PT LLC

  • Physical Therapist
  • Wilmington, DE
  • NPI 1063684041
  Medicare reassignment Care Compare group NPD
• Elite PT LLC

  • Orthopedic Physical Therapist
  • Wilmington, DE
  • NPI 1811482599
  NPD
• Holistic Physical Therapy and Wellness, Inc

  • Physical Therapist
  • Los Angeles, CA
  • NPI 1124559083
  NPD (past)
• Peak Performance Consulting, Inc

  • Orthopedic Physical Therapist
  • Santa Monica, CA
  • NPI 1780749697
  NPD (past)

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

{
    "created_epoch": "1265587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265587200000",
    "number": "1629300264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "052 MCKINLY LAB",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "19716",
            "telephone_number": "302-831-8893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "063 EAST DELAWARE AVE",
            "address_2": "053 MCKINLY LAB",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "19716",
            "telephone_number": "302-831-8893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-08",
        "last_updated": "2010-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "DE",
            "license": "J1-0002558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominique Denisse Carpio, OTR/L
• Susan Carr, CRNP
• Debra Carri, DMD
• Kaitlyn Rose Carrick
• Tariq Carrington
• Christopher Andreas Carroll
• James M Carroll, MD
• Kathryn Carroll
• Stephen Mark Carroll, DO
• Kelsey Elizabeth Carson, PA-C

• Physical Medicine & Rehabilitation Physician in Newark, DE
• Providers in Newark, DE by specialty
• Physical Medicine & Rehabilitation Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2010; 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.