REBECCA MAE GOAL CARROLL (PT) – Physical Therapist, NPI 1093045155
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,725 PHYSICAL THERAPIST IN PRIVATE PRACTICE in NY
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Provider Addresses for REBECCA MAE GOAL CARROLL (PT)
Empire Dermatology, 5823, Widewaters Parkway, Widewaters Park, Town of DeWitt, Onondaga County, New York, 13057, United States
EAST SYRACUSE, NY 130573084
Phone: (315) 418-4013
Fax: (315) 478-0388
Type: Mailing
5417, West Genesee Street, Windcrest Park, Town of Camillus, Onondaga County, New York, 13031, United States
CAMILLUS, NY 13031
Phone: (315) 418-4043
Fax: (315) 469-1324
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-07-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100728000583 | I | Physical Therapist In Private Practice | NY | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 544 | 119 | $0 |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 116 | 41 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 78 | 34 | $0 |
| 97530 | Therapy procedure using functional activities | 53 | 28 | $0 |
| 97161 | Evaluation for physical therapy, typically 20 minutes | 47 | 46 | $0 |
Insurance plans in this area (ZIP 13057)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICAL THERAPY | NY | 97535 | Self-care or home management training, each 15 minutes | 21 | 21 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | NY | |
| Physical Therapist In Private Practice | NY | |
| Physician Assistant | NY | |
| - | NY | |
| - | NY | |
| Physician Assistant | NY | |
| Diagnostic Radiology | NY | |
| - | NY | |
| Physical Therapist In Private Practice | NY | |
| Physician Assistant | NY |
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