Active NPI
Patrick Michael Greeley, D.C.
- Chiropractor
- Malden, MA
National Provider Identifier
1083853055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2693
- Practice address
- 1078 Salem St
Malden, MA 02148-4649 - Phone
- (781) 420-3649
- NPI assigned
- Feb 13, 2009
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2693 | MA | Primary |
Addresses
Primary practice location
1078 Salem St
Malden, MA 02148-4649
Mailing address
1078 Salem St
Malden, MA 02148-4649
Phone (781) 420-3649
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 |
|---|---|---|---|
| 2693 | MA | MD | Mechanotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234483200000",
"number": "1083853055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1078 SALEM ST",
"city": "MALDEN",
"state": "MA",
"postal_code": "021484649",
"telephone_number": "781-420-3649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1078 SALEM ST",
"city": "MALDEN",
"state": "MA",
"postal_code": "021484649",
"telephone_number": "781-420-3649"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREELEY",
"first_name": "PATRICK",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-02-13",
"last_updated": "2009-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "2693",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Malden, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.