Individual provider Active NPI

Carol Sherr Cunn, PT

  • Physical Therapist
  • Katonah, NY
National Provider Identifier
1700829082
Registry record updated Jan 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0086161 Issued in NY
Practice address
223 Katonah Ave
Katonah, NY 10536-2146
Phone
(914) 232-1480
Fax
(914) 232-3341
NPI assigned
Jun 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 0086161 NY Primary

Addresses

Primary practice location

223 Katonah Ave
Katonah, NY 10536-2146

Mailing address

1536 3Rd Ave
5TH Floor
New York, NY 10028-2167
Phone (212) 861-2630

Other names 1

  • Carol Madeline Sherr Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110921000582 NY Practitioner - Physical Therapist in Private Practice 0446421531 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4502 Victoria Dr
Mount Kisco, NY 10549-2531
Phone (914) 450-4634

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008616NYMDEmergency Medicine Physician
0086161NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
C - Squared Physical Therapy P.C. CurrentSince Dec 18, 2020 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327276800000",
    "number": "1700829082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1536 3RD AVE",
            "address_2": "5TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100282167",
            "telephone_number": "212-861-2630",
            "fax_number": "212-861-2685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 KATONAH AVE",
            "city": "KATONAH",
            "state": "NY",
            "postal_code": "105362146",
            "telephone_number": "914-232-1480",
            "fax_number": "914-232-3341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNN",
        "first_name": "CAROL",
        "middle_name": "SHERR",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2012-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0086161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "SHERR",
            "middle_name": "MADELINE",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Katonah, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; 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.