Rebecca Mae Goal Carroll, PT
Physical Therapist in Camillus, NY. Individual provider (NPI-1).
NPI number1093045155
StatusActive
Last updated in NPPESAug 6, 2018
Details
- NPI
- 1093045155
- Entity type
- Individual (NPI-1)
- Name
- Rebecca Mae Goal Carroll
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 12, 2010
- Last updated
- Aug 6, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 032288 | NY | Yes |
Practice location
5417 W Genesee StCamillus, NY 13031
Phone 315-418-4043 · Fax 315-469-1324
Mailing address
5823 Widewaters PkwyEast Syracuse, NY 13057-3084
Phone 315-418-4013 · Fax 315-478-0388
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Physical Therapist providers in Camillus, NY
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- Encore Physical Therapy, PLLCNPI 1639795982
- Michael J Fiume, PTNPI 1225572605
- Robin Meredith Greenberg, DPTNPI 1144695123
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All 24 Physical Therapist providers in Camillus · All 469 providers in Camillus
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