Active NPI
Michael Neligon, MSPT
- Physical Therapist
- Auburndale, MA
National Provider Identifier
1043335086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 16625
- Practice address
- 120 Seminary Ave
3Rd Floor Lasell House
Auburndale, MA 02466-2650 - Phone
- (617) 663-7100
- NPI assigned
- Mar 20, 2007
- Sex
- Male
- 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 | 16625 | MA | Primary |
Addresses
Primary practice location
120 Seminary Ave
3Rd Floor Lasell House
Auburndale, MA 02466-2650
Mailing address
908 E 4TH St
Apt #1
South Boston, MA 02127-3215
Phone (617) 269-3759
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 |
|---|---|---|---|
| 16625 | MA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043335086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "908 E 4TH ST",
"address_2": "APT #1",
"city": "SOUTH BOSTON",
"state": "MA",
"postal_code": "021273215",
"telephone_number": "617-269-3759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 SEMINARY AVE",
"address_2": "3RD FLOOR LASELL HOUSE",
"city": "AUBURNDALE",
"state": "MA",
"postal_code": "024662650",
"telephone_number": "617-663-7100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELIGON",
"first_name": "MICHAEL",
"credential": "MSPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "16625",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Auburndale, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.