Carley Jerome

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P12858 Issued in NC

Practice address

64 Danbury Rd
Wilton, CT 06897-4429

Phone

(800) 278-0332

Fax

(800) 970-5001

NPI assigned

Sep 23, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: carley.jerome.p1@direct.liberty-resources.nextgenshare.com

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.

• Onondaga Pastoral Counseling Center

  • Community/Behavioral Health Agency
  • Syracuse, NY
  • NPI 1518153477
  NPD (past)

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

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285200000000",
    "number": "1760790711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 DANBURY RD",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068974429",
            "telephone_number": "800-278-0332",
            "fax_number": "800-970-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 DANBURY RD",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068974429",
            "telephone_number": "800-278-0332",
            "fax_number": "800-970-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEROME",
        "first_name": "CARLEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-23",
        "last_updated": "2010-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "033009",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P12858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Varshapriya Iyer, M.D.
• Jeri A Jamison
• Khushbu V Janani, D.O
• Jaimin S Jani
• Amanda Elizabeth Jenks, ATC, CSCS
• Cynthia Louise Johnson, OTR/L
• Radha Vithal Joshi, DPT
• Judith E. Gotlieb, LMFT
• Sarah Kahn, MD
• Madeleine Hope Kamp, PA-C

• Physical Therapist in Wilton, CT
• Providers in Wilton, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.