NPIMap

Organization Active NPI

Carroll Physical Therapy

Doing business as Cape Cod Rehabilitation

  • Physical Therapist
  • Mashpee, MA
National Provider Identifier
1750335071
Registry record updated May 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4777 Issued in MA
Legal business name
CARROLL PHYSICAL THERAPY
Doing business as
Cape Cod Rehabilitation
Practice address
168 Industrial Dr
Unit 5
Mashpee, MA 02649-3561
Phone
(508) 477-4800
Fax
(508) 477-5377
NPI assigned
May 20, 2006
Last updated
May 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2016

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

Authorized official

Name
Mr. Joseph P Carroll, M.S.P.T.NPI 1104807437
Title
Owner/President
Phone
(508) 477-4800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4777 MA Primary

Addresses

Primary practice location

168 Industrial Dr
Unit 5
Mashpee, MA 02649-3561

Mailing address

168 Industrial Dr
Unit 5
Mashpee, MA 02649-3561
Phone (508) 477-4800

Other identifiers 1

IdentifierTypeStateIssuer
9728431MedicaidMA

Other names 1

  • Cape Cod Rehabilitation Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040928000903 MA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6204805146 Receives reassigned benefits from 18 practitioners
Practice locations: Mashpee, MA; Osterville, MA; Hyannis, MA

National Provider Directory

National Provider Directory

Locations

168 Industrial Dr
Ste 5
Mashpee, MA 02649
Phone (508) 477-4800

800 Route 28
Ste 103C
Mashpee, MA 02649
Phone (508) 477-4800

1284 Main St
Ste B
Osterville, MA 02655
Phone (508) 420-3535

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463097600000",
    "number": "1750335071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 INDUSTRIAL DR",
            "address_2": "UNIT 5",
            "city": "MASHPEE",
            "state": "MA",
            "postal_code": "026493561",
            "telephone_number": "508-477-4800",
            "fax_number": "508-477-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 INDUSTRIAL DR",
            "address_2": "UNIT 5",
            "city": "MASHPEE",
            "state": "MA",
            "postal_code": "026493561",
            "telephone_number": "508-477-4800",
            "fax_number": "508-477-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARROLL PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2016-05-13",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "508-477-4800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S.P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "4777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9728431",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cape Cod Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mashpee, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.