Individual provider Active NPI

Melissa Gayle Buffer, MSPT

  • Physical Therapist
  • Cambridge, MA
National Provider Identifier
1023028958
Registry record updated May 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
17643 Issued in MA
Practice address
763 Massachusetts Ave Ste 7
Cambridge, MA 02139-3329
Phone
(503) 678-9806
NPI assigned
Aug 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2019

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 17643 MA Primary

Addresses

Primary practice location

763 Massachusetts Ave Ste 7
Cambridge, MA 02139-3329

Mailing address

763 Massachusetts Ave Ste 7
Cambridge, MA 02139-3329
Phone (503) 678-9806

Other practice location 1

1 Kendall Sq
Ste B14104
Cambridge, MA 02139-1562
Phone (617) 491-0264

Other practice location 2

44 Park St
Somerville, MA 02143-3614
Phone (503) 678-9806

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
17643MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Buffer Trenouth Physical Therapy and Wellness CurrentSince Jul 17, 2021 Accepting new patients

Locations

763 Massachusetts Ave
Ste 7
Cambridge, MA 02139
Phone (503) 678-9806

Organizations & group practices 1

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557705600000",
    "number": "1023028958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "763 MASSACHUSETTS AVE STE 7",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021393329",
            "telephone_number": "503-678-9806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "763 MASSACHUSETTS AVE STE 7",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021393329",
            "telephone_number": "503-678-9806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Kendall Sq",
            "address_2": "Ste B14104",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "MA",
            "postal_code": "021391562",
            "country_code": "US",
            "telephone_number": "617-491-0264",
            "fax_number": "617-491-4411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "44 Park St",
            "address_purpose": "LOCATION",
            "city": "Somerville",
            "state": "MA",
            "postal_code": "021433614",
            "country_code": "US",
            "telephone_number": "503-678-9806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUFFER",
        "first_name": "MELISSA",
        "middle_name": "GAYLE",
        "name_prefix": "Ms.",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2019-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "17643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.