Active NPI
Jacqueline Bianco, DPT
- Physical Therapist
- Williamstown, MA
National Provider Identifier
1043508997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 19588
- Practice address
- 212 B Main Street
Williamstown, MA 01267 - Phone
- (413) 458-8090
- Fax
- (413) 458-7958
- NPI assigned
- Jul 13, 2011
- 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 | 19588 | MA | Primary |
Addresses
Primary practice location
212 B Main Street
Williamstown, MA 01267
Mailing address
212 B Main Street
Williamstown, MA 01267
Phone (413) 458-8090
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Williamstown Physical Therapy | Physical Therapist | Past | Accepting new patients |
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.
-
- Physical Therapist
- Williamstown, MA
- NPI 1699858324
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493251200000",
"number": "1043508997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 B MAIN STREET",
"city": "WILLIAMSTOWN",
"state": "MA",
"postal_code": "01267",
"telephone_number": "413-458-8090",
"fax_number": "413-458-7958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 B MAIN STREET",
"city": "WILLIAMSTOWN",
"state": "MA",
"postal_code": "01267",
"telephone_number": "413-458-8090",
"fax_number": "413-458-7958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIANCO",
"first_name": "JACQUELINE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-13",
"last_updated": "2017-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "19588",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Williamstown, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.