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

Q: What is Mary Carroll's NPI number?

The NPI number for Mary Carroll is 1184836694. It was assigned to this individual provider in the NPPES registry on May 4, 2007.

Q: What is Mary Carroll's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

Q: When was this NPI record last updated?

The NPPES record for Mary Carroll was last updated on January 6, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Ms. Mary Elizabeth Carroll Pt Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. MARY ELIZABETH CARROLL PT DPT (NPI 1184836694) is an individual pediatrics provider in Cedar Knolls, New Jersey, licensed in New Jersey (40QA00776700) and active in the NPI registry since May 2007. She is a graduate of Other (1997).

NPPES Registry Identity

NPI1184836694

Entity TypeIndividualFemale

Primary Taxonomy2251P0200X

Provider Legal NameMS. MARY ELIZABETH CARROLLCredential: PT DPT

Location Address15 HALKO DRCedar Knolls, NJ 07927-1306

Mailing Address33 Tarn DrMorris Plains, NJ 07950-2755 · (201) 400-8333

Phone(973) 829-8484

Sole ProprietorNo

Medical School CMSOtherGraduated 1997

Enumeration DateMay 4, 2007

Last NPPES UpdateJanuary 6, 2013

✔ NPI 1184836694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251P0200X

License✔ Licensed in NJ · 40QA00776700

Definition

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.

15 HALKO DR, Cedar Knolls, NJ 07927

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Mary Elizabeth Carroll Pt Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436550340

PECOS Enrollment IDI20210630000457

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. AMBER L HUMMER DPT

Physical Therapist (Pediatrics)