Cheryl Lynne Carr
Individual provider Active NPI Geriatric Physical Therapist · North Reading, MA
NPI 1629622907 · NPPES record last updated Jul 25, 2019
Key facts
- NPI
- 1629622907
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Geriatric Physical Therapist 2251G0304X
- License
- 8190 (MA)
- Practice address
- 479 Park St
North Reading, MA 01864-2005 - Phone
- (781) 315-7270
- NPI assigned
- Jul 25, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1990
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
7 Carnegie PLZ
Cherry Hill, NJ 08003-1000
7 Clyde Rd
Somerset, NJ 08873-5049
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190801000245 | MA | Practitioner - Physical Therapist in Private Practice | 3072849975 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8190 | MA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehab Ma LLC | Geriatrics | Current |
Accepting new patients |
Locations
303 Wyman St
Ste 300
Waltham, MA 02451
Phone (781) 330-0577
7 Carnegie Plz
Cherry Hill, NJ 08003
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | 8190 | MA | Yes |
Addresses
Primary practice location
479 Park St
North Reading, MA 01864-2005
Mailing address
479 Park St
North Reading, MA 01864-2005
Phone (781) 315-7270
Other providers in North Reading, MA
- Desirea M Cabrera
- Nicole Caiazzo
- Christopher M Callahan
- Kelli L Campbell
- Careerstaff Unlimited
- Erin Rosemary Casey
- Amy Archidiacono Casu
- Alison Chamallas
- Bruce David Chase
- Rebecca Kathleen Cioffi
All providers in North Reading, MA · Geriatric Physical Therapist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.