Nicole Ann McCardle, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTL27134 Issued in MA

Practice address

34 Traveler St
Boston, MA 02118-2232

Phone

(617) 623-6300

Fax

(617) 623-4224

NPI assigned

Nov 29, 2023

Last updated

Nov 29, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Beantown Physio, IncGroup PAC ID 0749254746, 7 clinicians

Boston Sports Medicine IncGroup PAC ID 9032163985, 28 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11813/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Beantown Physio, Inc

  • Physical Therapist
  • Brookline, MA
  • NPI 1477547529
  Medicare reassignment Care Compare group NPD
• Boston Sports Medicine Inc

  • Physical Therapist
  • Allston, MA
  • NPI 1245217546
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1701216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1982470035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 322",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021340003",
            "telephone_number": "617-623-6300",
            "fax_number": "617-623-4224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 TRAVELER ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182232",
            "telephone_number": "617-623-6300",
            "fax_number": "617-623-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARDLE",
        "first_name": "NICOLE",
        "middle_name": "ANN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-29",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "PTL27134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James J McCann, PHYSICIANS ASSISTANT
• Marissa McCann, PHARMD
• Mary Ellen McCann, MD
• Ruth Farrell McCann, MD
• Jessica Brenna McCannon, MD
• Courtney McCarrick, PA-C
• Catalina Goodman McCarter
• Kaitlin Rose McCarter
• Amy Christine McCarthy Baluch, LICSW
• Quinn McCarthy Beaver

• Physical Therapist in Boston, MA
• Providers in Boston, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.