Active NPI
Clarene Mae Dibona, N.C.T.M.B.
- Mechanotherapist
- Weymouth, MA
National Provider Identifier
1003044546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- 167
- Practice address
- 723 Washington Street
Weymouth, MA 02188-1709 - Phone
- (781) 331-1615
- Fax
- (781) 331-0392
- NPI assigned
- Jun 23, 2009
- Last updated
- Jun 23, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | 167 | MA | Primary |
Addresses
Primary practice location
723 Washington Street
Weymouth, MA 02188-1709
Mailing address
723 Washington Street
Weymouth, MA 02188-1709
Phone (781) 331-1615
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 167 | MA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245715200000",
"number": "1003044546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "723 WASHINGTON STREET",
"city": "WEYMOUTH",
"state": "MA",
"postal_code": "021881709",
"telephone_number": "781-331-1615",
"fax_number": "781-331-0392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "723 WASHINGTON STREET",
"city": "WEYMOUTH",
"state": "MA",
"postal_code": "021881709",
"telephone_number": "781-331-1615",
"fax_number": "781-331-0392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIBONA",
"first_name": "CLARENE",
"middle_name": "MAE",
"name_prefix": "Mrs.",
"credential": "N.C.T.M.B.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-23",
"last_updated": "2009-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "MA",
"license": "167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Weymouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.