Active NPI
Andrea Lynn Patruno, MPT
- Physical Therapist
- Worcester, MA
National Provider Identifier
1033316245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 15975
- Practice address
- Saint Vincents Hospital at Worcester Medical Center
123 Summer Street
Worcester, MA 01608 - Phone
- (508) 363-6205
- NPI assigned
- Jun 29, 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 | 15975 | MA | Primary |
Addresses
Primary practice location
Saint Vincents Hospital at Worcester Medical Center
123 Summer Street
Worcester, MA 01608
Mailing address
PO Box 164
Blandford, MA 01008-0164
Phone (413) 768-8559
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
| License | State | Type | Specialty |
|---|---|---|---|
| 15975 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414281600000",
"number": "1033316245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 164",
"city": "BLANDFORD",
"state": "MA",
"postal_code": "010080164",
"telephone_number": "413-768-8559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SAINT VINCENTS HOSPITAL AT WORCESTER MEDICAL CENTER",
"address_2": "123 SUMMER STREET",
"city": "WORCESTER",
"state": "MA",
"postal_code": "01608",
"telephone_number": "508-363-6205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATRUNO",
"first_name": "ANDREA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-29",
"last_updated": "2014-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "15975",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.