Active NPI
Diane M Sheehan, PT
- Physical Therapist
- Natick, MA
National Provider Identifier
1063544344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1795
- Practice address
- 60 North Main St
Ste 7
Natick, MA 01760 - Phone
- (508) 653-0773
- Fax
- (508) 653-3879
- NPI assigned
- Mar 12, 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 | 1795 | MA | Primary |
Addresses
Primary practice location
60 North Main St
Ste 7
Natick, MA 01760
Mailing address
60 North Main St
Ste 7
Natick, MA 01760
Phone (508) 653-0773
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 614130 | Other | MA | HARVARD PILGRIM |
| 711923 | Other | MA | TUFTS |
| 0327999 | Medicaid | MA | |
| Y65084 | Other | MA | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080320000386 | MA | Practitioner - Physical Therapist in Private Practice | 6103902895 | Practice locations: Natick, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1970
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
60 N Ave
Suite 7
Natick, MA 01760-3539
60 N Main St
Suite 7
Natick, MA 01760-3454
Phone (508) 653-0773
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201651200000",
"number": "1063544344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 NORTH MAIN ST",
"address_2": "STE 7",
"city": "NATICK",
"state": "MA",
"postal_code": "01760",
"telephone_number": "508-653-0773",
"fax_number": "508-653-3879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 NORTH MAIN ST",
"address_2": "STE 7",
"city": "NATICK",
"state": "MA",
"postal_code": "01760",
"telephone_number": "508-653-0773",
"fax_number": "508-653-3879"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEEHAN",
"first_name": "DIANE",
"middle_name": "M",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-12",
"last_updated": "2008-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "1795",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "614130",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "711923",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0327999",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "Y65084",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Natick, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.