Active NPIIndividual providerSole proprietor

Jonathan Carroll, DPT

Physical Therapist in Mashpee, Massachusetts

NPI Number1356658637
Practice location
800 Falmouth RD, 103C Summerfiled Park, Mashpee, MA 02649-3303
Fax
508-477-5377
Last updated
November 17, 2017

Jonathan Carroll is a Physical Therapist based in Mashpee, MA. Jonathan Carroll practices in Mashpee, MA and has the professional credentials of DPT. The NPI Number for Jonathan Carroll is 1356658637 and holds a License No. 19258 (MA). The current practice location address for Jonathan Carroll is 800 Falmouth RD, 103C Summerfiled Park, Mashpee, MA 02649-3303 and can be reached out via phone at 508-477-4800 and via fax at 508-477-5377.

Provider Profile Details

NPI Number
1356658637
Provider Name
Jonathan Carroll
Credential
DPT
Provider Entity Type
Individual
Gender
Male
Address
800 Falmouth RD, 103C Summerfiled Park, Mashpee, MA 02649-3303
Phone Number
508-477-4800
Fax Number
508-477-5377
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Provider Enumeration Date
September 8, 2010
Last Update Date
November 17, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
800 Falmouth RD
103C Summerfiled Park
Mashpee, MA 02649-3303
Zip
02649-3303
Phone Number
508-477-4800
Fax Number
508-477-5377
Mashpee, MA 02649Get directions →

Provider Business Mailing Address Details

Address
168 Industrial Dr
Unit 5
Mashpee, MA 02649-3562
City
Mashpee
State
MA
Zip
02649-3562
Phone Number
508-477-4800
Fax Number
508-477-5377

License Information

License Number
19258
License State
MA
Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jonathan Carroll, DPT?

The NPI number of Jonathan Carroll, DPT is 1356658637. It was assigned on September 8, 2010 and is currently active in the NPPES registry.

What is the specialty of Jonathan Carroll, DPT?

Jonathan Carroll, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in MA under license number 19258.

Where does Jonathan Carroll, DPT practice?

The practice location is 800 Falmouth RD, 103C Summerfiled Park, Mashpee, MA 02649-3303. The office can be reached at 508-477-4800 (phone) or 508-477-5377 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1356658637 directly on the NPPES registry website.

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