Individual provider Active NPI

Angela Mary McErlain

  • Physical Medicine & Rehabilitation Physician
  • Fairfield, CT
National Provider Identifier
1639765928
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
010417 Issued in NY
Practice address
79 S Benson Rd
Fairfield, CT 06824-6230
Phone
(203) 292-5800
NPI assigned
Dec 21, 2020
Last updated
Dec 21, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 010417 NY Primary

Addresses

Primary practice location

79 S Benson Rd
Fairfield, CT 06824-6230

Mailing address

Soulcare Physical Therapy LLC
79 S Benson Rd
Fairfield, CT 06824-6230
Phone (203) 610-2681

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250115001342 NY Practitioner - Physical Therapist in Private Practice 6406384627 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Edgemont Physical Therapy, PCGroup PAC ID 1355622689, 3 clinicians

Practice addresses (Care Compare)

455 Central Park Ave
Scarsdale, NY 10583-1060
Phone (914) 574-6494

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Soulcare Physical Therapy,LLC CurrentSince Dec 27, 2020 Accepting new patients
Edgemont Physical Therapy, P.C. CurrentSince Jan 10, 2025 Accepting new patients

Locations

79 S Benson Rd
Fairfield, CT 06824
Phone (203) 292-5800

455 Central Park Ave
Scarsdale, NY 10583
Phone (914) 574-6494

Organizations & group practices 2

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": "1608508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1639765928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SOULCARE PHYSICAL THERAPY LLC",
            "address_2": "79 S BENSON RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068246230",
            "telephone_number": "203-610-2681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 S BENSON RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068246230",
            "telephone_number": "203-292-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCERLAIN",
        "first_name": "ANGELA",
        "middle_name": "MARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-21",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "010417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.

Verify at the official NPI Registry.