MS. MARY ELIZABETH CARROLL PT DPT
NPI 1184836694
Physical Therapist - Pediatrics in Cedar Knolls, NJ

NPI Status: Active since May 04, 2007

Contact Information

15 HALKO DR
CEDAR KNOLLS, NJ
ZIP 07927
Phone: (973) 829-8484

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  • Individual
  • Female
  • Years of Experience 29
  • Physical Therapist
  • Pediatrics
  • Accepts Medicare Approved Payment

About MARY CARROLL

This page provides the complete NPI Profile along with additional information for Mary Carroll, a provider established in Cedar Knolls, New Jersey with a medical specialization in Physical Therapist, focusing in pediatrics and more than 29 years of experience. The healthcare provider is registered in the NPI registry with number 1184836694 assigned on May 2007. The practitioner's primary taxonomy code is 2251P0200X with license number 40QA00776700 (NJ). The provider is registered as an individual and her NPI record was last updated 13 years ago.

NPI
1184836694
Provider Name
MS. MARY ELIZABETH CARROLL PT DPT
Gender
Female
Entity Type
Individual
Location Address
15 HALKO DR CEDAR KNOLLS, NJ 07927
Location Phone
(973) 829-8484
Mailing Address
33 TARN DR MORRIS PLAINS, NJ 07950
Mailing Phone
(201) 400-8333
Medical School Name
OTHER
Graduation Year
1997
Is Sole Proprietor?
No
Enumeration Date
05-04-2007
Last Update Date
01-06-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Therapist Pediatrics

Taxonomy Code
2251P0200X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
40QA00776700
License State
NJ
Taxonomy Description
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.

Medicare Participation & PECOS Enrollment Status

Mary Carroll is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • PECOS PAC ID: 9436550340

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20210630000457

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1184836694, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
4
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
3
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
6
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 8 → 16 → 7 6 → 12 → 3 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 6 + 4 + 1 + 6 + 3 + 1 + 2 + 6 + 1 + 8 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1184836694.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Physical Therapist (Pediatrics)
15 HALKO DR
CEDAR KNOLLS, NJ 07927
Physical Therapist (Pediatrics)
15 HALKO DR
CEDAR KNOLLS, NJ 07927
Speech-Language Pathologist
15 HALKO DR
CEDAR KNOLLS, NJ 07927
Speech-Language Pathologist
15 HALKO DR
CEDAR KNOLLS, NJ 07927
Speech-Language Pathologist
15 HALKO DR
CEDAR KNOLLS, NJ 07927

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184836694, enumerated as an "individual" on May 04, 2007.

The provider is located at 15 HALKO DR CEDAR KNOLLS, NJ 07927 and the phone number is (973) 829-8484.

Physical Therapist with taxonomy code 2251P0200X and a focus in Pediatrics.