Individual provider Active NPI

Carole Lorraine Irwin, PT

  • Physical Therapist
  • Seaville, NJ
National Provider Identifier
1780919357
Registry record updated Apr 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00709000 Issued in NJ
Practice address
2087 Shore Road
Suite 24
Seaville, NJ 08230
Phone
(609) 536-4995
Fax
(609) 624-2032
NPI assigned
Oct 15, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2019

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 40QA00709000 NJ Primary

Addresses

Primary practice location

2087 Shore Road
Suite 24
Seaville, NJ 08230

Mailing address

4175 Veterans Memorial Hwy
Suite 202
Ronkonkoma, NY 11779
Phone (631) 580-5200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100322000787 NJ Practitioner - Physical Therapist in Private Practice 8921133430 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cape Physical Therapy LLCGroup PAC ID 5496901720, 9 clinicians

Practice addresses (Care Compare)

2087 Shore Rd
Suite 24
Seaville, NJ 08230
Phone (609) 536-4995

215 N Main St
Suite 102
Cape May Court House, NJ 08210-2192
Phone (609) 536-4995

Merit-based Incentive Payment System (MIPS)

Final score
20.45 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
68.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA00709000NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Physical Therapy LLC Physical Therapist CurrentSince Aug 1, 2012 Accepting new patients

Locations

215 N Main St
Cape May Court House, NJ 08210
Phone (609) 463-2273

3806 Bayshore Rd
Ste 103
North Cape May, NJ 08204
Phone (609) 536-4995

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": "1255564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555027200000",
    "number": "1780919357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4175 VETERANS MEMORIAL HWY",
            "address_2": "SUITE 202",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "11779",
            "telephone_number": "631-580-5200",
            "fax_number": "631-580-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2087 SHORE ROAD",
            "address_2": "SUITE 24",
            "city": "SEAVILLE",
            "state": "NJ",
            "postal_code": "08230",
            "telephone_number": "609-536-4995",
            "fax_number": "609-624-2032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRWIN",
        "first_name": "CAROLE",
        "middle_name": "LORRAINE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-15",
        "last_updated": "2019-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00709000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seaville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2019; 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.