Active NPI
Nicholas Edward McCool
- Physical Therapist
- Cromwell, CT
National Provider Identifier
1639587793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10207
- Practice address
- 136 Berlin Rd
Cromwell, CT 06416-2627 - Phone
- (860) 635-0035
- NPI assigned
- Jul 31, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 10207 | CT | Primary |
Addresses
Primary practice location
136 Berlin Rd
Cromwell, CT 06416-2627
Mailing address
4 Nicole LN
Burlington, CT 06013-2123
Phone (860) 712-9120
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230131001340 | CT | Practitioner - Physical Therapist in Private Practice | 7416328414 |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1933 E Main St
Torrington, CT 06790-3102
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588723200000",
"number": "1639587793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 NICOLE LN",
"city": "BURLINGTON",
"state": "CT",
"postal_code": "060132123",
"telephone_number": "860-712-9120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 BERLIN RD",
"city": "CROMWELL",
"state": "CT",
"postal_code": "064162627",
"telephone_number": "860-635-0035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCOOL",
"first_name": "NICHOLAS",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-31",
"last_updated": "2020-05-06",
"certification_date": "2020-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "10207",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cromwell, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; 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.