Active NPI
William J Carroll, DPT, PT
- Physical Therapist
- Niagara Falls, NY
National Provider Identifier
1689158339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 924 Main St
Niagara Falls, NY 14301-1110 - Phone
- (716) 282-2888
- Fax
- (716) 285-1281
- NPI assigned
- Sep 19, 2018
- 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 | Primary |
Addresses
Primary practice location
924 Main St
Niagara Falls, NY 14301-1110
Mailing address
924 Main St
Niagara Falls, NY 14301-1110
Phone (716) 282-2888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190117000647 | NY | Practitioner - Physical Therapist in Private Practice | 6002152774 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
924 Main St
Niagara Falls, NY 14301-1110
Phone (716) 282-2888
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Care Physical Therapy Aquatics and Fitness PC | Physical Therapist | Current | Accepting new patients |
Locations
924 Main St
Niagara Falls, NY 14301
15 S Forest Rd
Williamsville, NY 14221
Phone (716) 204-8734
Organizations & group practices 1
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.
-
- Physical Therapist
- Niagara Falls, NY
- NPI 1891883385
NY, Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537315200000",
"number": "1689158339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "924 MAIN ST",
"city": "NIAGARA FALLS",
"state": "NY",
"postal_code": "143011110",
"telephone_number": "716-282-2888",
"fax_number": "716-285-1281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "924 MAIN ST",
"city": "NIAGARA FALLS",
"state": "NY",
"postal_code": "143011110",
"telephone_number": "716-282-2888",
"fax_number": "716-285-1281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARROLL",
"first_name": "WILLIAM",
"middle_name": "J",
"credential": "DPT, PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-19",
"last_updated": "2018-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Niagara Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; 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.