Active NPI
Nell L. Fay, DPT
- Physical Therapist
- Malden, MA
National Provider Identifier
1013039494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 405 Pearl St
Malden, MA 02148-6644 - Phone
- (781) 321-8785
- Fax
- (781) 321-8063
- NPI assigned
- Apr 4, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | MA | Primary |
Addresses
Primary practice location
405 Pearl St
Malden, MA 02148-6644
Mailing address
20 Research PL
Ste 220
North Chelmsford, MA 01863-2455
Phone (781) 321-8785
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000Y61011 | Other | MA | BCBS GROUP NUMBER |
| 612930 | Other | MA | TUFTS |
| 613542 | Other | MA | HARVARD PILGRIM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joint Ventures Physical Therapy, Inc. | Current | Accepting new patients | |
| Joint Ventures Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
| Integrated Gastroenterology Consultants, PC | Physical Therapist | Past | Accepting new patients |
| Chiropractic Care Centers, Inc | Physical Therapist | Past | Accepting new patients |
Locations
4 Water St
Boston, MA 02109
Phone 61753611613
533 Commonwealth Ave
Ste 1
Boston, MA 02215
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/5702a1ef-1ffa-4749-8a59-5b2ca3bf45eb/
- nell.fay.1@20039.direct.athenahealth.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Boston, MA
- NPI 1083667901
Physical Therapist
-
- Physical Therapist
- North Chelmsford, MA
- NPI 1396075123
-
- Physical Medicine & Rehabilitation Physician
- Cambridge, MA
- NPI 1972149805
-
- Physical Therapist
- Lowell, MA
- NPI 1144473133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540857600000",
"number": "1013039494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 RESEARCH PL",
"address_2": "STE 220",
"city": "NORTH CHELMSFORD",
"state": "MA",
"postal_code": "018632455",
"telephone_number": "781-321-8785",
"fax_number": "781-321-8063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 PEARL ST",
"city": "MALDEN",
"state": "MA",
"postal_code": "021486644",
"telephone_number": "781-321-8785",
"fax_number": "781-321-8063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAY",
"first_name": "NELL",
"middle_name": "L.",
"name_prefix": "Ms.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-04",
"last_updated": "2018-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP NUMBER",
"identifier": "0000Y61011",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "612930",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "613542",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Malden, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.