REBECCA MAE GOAL CARROLL (NPI# 1093045155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093045155 |
| Entity Type | Individual |
| Full Name | REBECCA MAE GOAL CARROLL |
| Credential | PT |
| Practice Address |
5417 W Genesee St Camillus NY 13031 |
| Mailing Address |
5823 Widewaters Pkwy East Syracuse NY 13057-3084 |
| Practice Telephone | 3154184043 |
| Practice Fax Number | 3154691324 |
| Mailing Telephone | 3154184013 |
| Mailing Fax Number | 3154780388 |
| Enumeration Date | 2010-01-12 |
| Last Update Date | 2018-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 032288 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GRP NPI | 1710923222 | 01 | |
| MCR GROUP | AA0171 | 01 | |
| MCR GROUP | AA0172 | 01 | |
| NY | MEDICAID GRP | 02052091 | 01 |
| NY | PENDING | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770117152 | Rebecca Ryan Carroll | Nurse's Aide | 6764 Cedarwood Trce, Middleburg Heights, OH 44130-9502 | 2020-02-25 |
| 1346625142 | Rebecca Nicole Carroll | Registered Nurse | 3795 Occonechee Trl, Chattanooga, TN 37415-4332 | 2015-07-22 |
| 1639593155 | Rebecca Ann Carroll | Nurse Practitioner | 17315 Squirrel Ct., Weed, CA 96094 | 2014-02-05 |
| 1548459654 | Rebecca Louise Carroll | Pharmacist | 720 S 2nd St, Coshocton, OH 43812-1947 | 2007-10-15 |
| 1598815458 | Rebecca E. Carroll | Psychologist | 3000 Connecticut Ave Nw Ste 400d, Washington, DC 20008-2526 | 2007-01-11 |
| 1760415673 | Rebecca Maria Carroll | Social Worker | 1485 S Semoran Blvd, Ste 1454 Bldg #6, Winter Park, FL 32792-5533 | 2006-07-07 |
| 1801856356 | Rebecca F Carroll | Counselor | 1600 N Coast Hwy Ste 1620, Newport, OR 97365 | 2006-03-27 |
| 1942663281 | Rebecca Carroll | Speech-Language Pathologist | 4420 Lake Boone Trl, Raleigh, NC 27607-7505 | 2016-04-04 |
| 1982962759 | Rebecca Ann Carroll | Nurse Practitioner | 2760 Fletcher Pkwy, El Cajon, CA 92020-2110 | 2012-04-30 |
| 1104192632 | Rebecca Rose Carroll | Physical Therapist | 724 W Main St Ste 180, Lewisville, TX 75067-3583 | 2012-03-29 |
| Street Address |
5417 W GENESEE ST |
| City | CAMILLUS |
| State | NY |
| Zip Code | 13031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770145211 | Justine Zink | Physical Therapist | 5417 W Genesee St, Camillus, NY 13031-2176 | 2019-07-05 |
| 1942729801 | Jessica Lynn Town | Physical Therapist | 5417 W Genesee St, Camillus, NY 13031 | 2017-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194361337 | Marsha Reedy | Registered Nurse | Baldwinsville Schools, 29 East Oneida Street, Baldwinsville, NY 13031 | 2019-11-22 |
| 1821632167 | Romans Soltani Dentistry, Pllc | Dentist | 5426 W. Genesee Street, Camillus, NY 13031 | 2019-10-30 |
| 1174178859 | Abigail Marie Brunner | Nurse Practitioner | 208 Township Blvd, Suite 100, Camillus, NY 13031 | 2019-08-08 |
| 1649779547 | Claire Isaacson | Counselor | 6000 W Genesee St Ste 400, Camillus, NY 13031 | 2018-02-06 |
| 1811426190 | At Home Independent Living, Inc. | In Home Supportive Care | 4464 Milton Ave, Syracuse, NY 13031 | 2017-06-08 |
| 1548643471 | Podiatry Services of Central New York, PC | Podiatrist | 4912 West Genesee Street, Camillus, NY 13031 | 2015-07-09 |
| 1023497203 | New York Anesthesiology Medical Specialties, PC | Pain Medicine | 5417 West Genesee Street, Suite 1, Camillus, NY 13031 | 2015-05-21 |
| 1194130377 | Costco Wholesale Corporation | Pharmacy | 120 Township Blvd, Camillus, NY 13031 | 2014-06-25 |
| 1487084976 | Todd Ray | Social Worker | 6000 W Genesee St, Camillus, NY 13031 | 2013-11-19 |
| 1679716468 | Shauna Marie Mulpagano | Licensed Vocational Nurse | 23 1st Street, Camillus, NY 13031 | 2009-04-09 |
| Find all providers in zip 13031 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639795982 | Encore Physical Therapy, Pllc | Physical Therapist | 100 Kasson Rd, Camillus, NY 13031-2250 | 2020-06-23 |
| 1063066587 | Mary Elizabeth Schmutz | Physical Therapist | 5104 W Genesee St, Camillus, NY 13031-2327 | 2019-08-01 |
| 1225572605 | Michael J Fiume | Physical Therapist | 5320 W Genesee St, Suite 2, Camillus, NY 13031-2268 | 2016-12-05 |
| 1417190430 | Matthew David Silvaggio | Physical Therapist | 56 Richlee Dr, Camillus, NY 13031-1550 | 2009-04-07 |
| 1114166543 | Elizabeth Lynn Cullen | Physical Therapist | 5700 W Genesee St Ste 2, Camillus, NY 13031-3202 | 2009-02-09 |
| 1003086877 | Steve Rivizziano | Physical Therapist | 4050 Milton Avenue, Camillus, NY 13031 | 2008-03-07 |
| 1538284542 | Susan E Valerino | Physical Therapist | 4010 Split Rock Rd, Camillus, NY 13031-8703 | 2007-03-20 |
| 1447382700 | Teurai Mutanga | Physical Therapist | St Camillus Home Care Agency, 813 Fay Road, Camillus, NY 13219 | 2007-03-12 |
| 1528199452 | Advance Physical Therapy | Physical Therapist | 4050 Milton Ave, Camillus, NY 13031 | 2007-03-09 |
| 1619049335 | Bonnie Jean Pirro | Physical Therapist | 5700 W Genesee St Ste 2s, Camillus, NY 13031-3200 | 2006-11-15 |
| Find all providers in CAMILLUS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.