Individual provider Active NPI

Nell L. Fay, DPT

  • Physical Therapist
  • Malden, MA
National Provider Identifier
1013039494
Registry record updated Oct 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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

Updated by the provider on Oct 30, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0000Y61011OtherMABCBS GROUP NUMBER
612930OtherMATUFTS
613542OtherMAHARVARD PILGRIM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070609000074 MA Practitioner - Physical Therapist in Private Practice 3577661818 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Joint Ventures Physical Therapy, Inc. CurrentSince May 23, 2022 Accepting new patients
Joint Ventures Physical Therapy, Inc. Physical Therapist CurrentSince May 23, 2022 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

  • FHIR API: https://fhir-myrecord.cerner.com/r4/5702a1ef-1ffa-4749-8a59-5b2ca3bf45eb/
  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.