Active NPI
Doris C Prince, P.T.
- Physical Therapist
- Waltham, MA
National Provider Identifier
1023289105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2720
- Practice address
- 411 Waverly Oaks Rd
Waltham, MA 02452-8448 - Phone
- (781) 894-6564
- NPI assigned
- Mar 18, 2008
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2720 | MA | Primary |
Addresses
Primary practice location
411 Waverly Oaks Rd
Waltham, MA 02452-8448
Mailing address
64 Donnybrook Rd
Brighton, MA 02135-1807
Phone (617) 254-8502
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 |
|---|---|---|---|
| 2720 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205798400000",
"number": "1023289105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "64 DONNYBROOK RD",
"city": "BRIGHTON",
"state": "MA",
"postal_code": "021351807",
"telephone_number": "617-254-8502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 WAVERLY OAKS RD",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024528448",
"telephone_number": "781-894-6564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRINCE",
"first_name": "DORIS",
"middle_name": "C",
"name_prefix": "Ms.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-18",
"last_updated": "2008-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "2720",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waltham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.