Active NPI
Cara Elise Crisafulli
- Physical Therapist
- Dorchester, MA
National Provider Identifier
1083792550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8610
- Practice address
- 415 Columbia Rd
Dorchester, MA 02125-2424 - Phone
- (617) 825-9206
- NPI assigned
- Nov 1, 2006
- 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 | 8610 | MA | Primary |
Addresses
Primary practice location
415 Columbia Rd
Dorchester, MA 02125-2424
Mailing address
28 Fairview St
Dedham, MA 02026-3224
Phone (781) 407-9091
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 |
|---|---|---|---|
| 8610 | MA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188345600000",
"number": "1083792550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 FAIRVIEW ST",
"city": "DEDHAM",
"state": "MA",
"postal_code": "020263224",
"telephone_number": "781-407-9091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 COLUMBIA RD",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "021252424",
"telephone_number": "617-825-9206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRISAFULLI",
"first_name": "CARA",
"middle_name": "ELISE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2007-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "8610",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dorchester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.