Individual provider Active NPI

Caroline Fitzpatrick, PT, DPT

  • Physical Therapist
  • Yorktown Heights, NY
National Provider Identifier
1962006437
Registry record updated Dec 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
3535 Hill Blvd Ste P
Yorktown Heights, NY 10598-1209
Phone
(631) 580-5200
NPI assigned
Nov 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 12954 CT
Physical Therapist 225100000X Primary

Addresses

Primary practice location

3535 Hill Blvd Ste P
Yorktown Heights, NY 10598-1209

Mailing address

1377 Motor Pkwy Ste 307
Islandia, NY 11749-5258
Phone (631) 580-5200

Other practice location 1

584 N State Rd
Briarcliff Manor, NY 10510-1522
Phone (631) 580-5200

Other practice location 2

385 Bridgeport Ave
Shelton, CT 06484-5303
Phone (475) 882-1440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201209002631 NY Practitioner - Physical Therapist in Private Practice 9133531502 Reassigns benefits to 1 organization
I20201217000328 CT Practitioner - Physical Therapist in Private Practice 9133531502 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
New York Medical College, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Nola Physical Therapy, P.C.Group PAC ID 5092852913, 3 clinicians

Practice addresses (Care Compare)

2 W 45TH St
Suite 208
New York, NY 10036-4268
Phone (212) 840-6652

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12954CTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nola Physical Therapy, P.C. Physical Therapist CurrentSince Sep 27, 2023 Accepting new patients
Ivyrehab Connecticut, Inc. Physical Therapist CurrentSince Dec 5, 2020 Accepting new patients

Locations

385 Bridgeport Ave
Shelton, CT 06484
Phone (475) 882-1440

101 N Plains Rd
Wallingford, CT 06492
Phone (203) 265-0018

2 W 45th St
Ste 208
New York, NY 10036
Phone (212) 840-6652

277 Park Ave
New York, NY 10172
Phone (516) 659-6319

Organizations & group practices 2

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": "1606262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1962006437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1377 MOTOR PKWY STE 307",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117495258",
            "telephone_number": "631-580-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 HILL BLVD STE P",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105981209",
            "telephone_number": "631-580-5200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "584 N State Rd",
            "address_purpose": "LOCATION",
            "city": "Briarcliff Manor",
            "state": "NY",
            "postal_code": "105101522",
            "country_code": "US",
            "telephone_number": "631-580-5200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "385 Bridgeport Ave",
            "address_purpose": "LOCATION",
            "city": "Shelton",
            "state": "CT",
            "postal_code": "064845303",
            "country_code": "US",
            "telephone_number": "475-882-1440",
            "fax_number": "475-209-5002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FITZPATRICK",
        "first_name": "CAROLINE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-25",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "12954",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorktown Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; 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.