Active NPI
Pamela Cormier, RPT
- Physical Therapist
- Hyannis, MA
National Provider Identifier
1063659597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11601
- Practice address
- 255 Industrial Drive
Hyannis, MA 02635 - Phone
- (774) 487-0783
- NPI assigned
- Jan 21, 2009
- 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 | 11601 | MA | Primary |
Addresses
Primary practice location
255 Industrial Drive
Hyannis, MA 02635
Mailing address
88 Wintergreen Cir
Osterville, MA 02655-1516
Phone (774) 238-8304
Other names 1
- Pamela Proto
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 |
|---|---|---|---|
| 11610 | MA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492473600000",
"number": "1063659597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "88 WINTERGREEN CIR",
"city": "OSTERVILLE",
"state": "MA",
"postal_code": "026551516",
"telephone_number": "774-238-8304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 INDUSTRIAL DRIVE",
"city": "HYANNIS",
"state": "MA",
"postal_code": "02635",
"telephone_number": "774-487-0783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORMIER",
"first_name": "PAMELA",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-21",
"last_updated": "2017-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "11601",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PAMELA",
"last_name": "PROTO",
"credential": "PAMELA CORMIER",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Hyannis, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.