Active NPI
Celia M. Repucci, PT
- Physical Therapist
- Chelmsford, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5676
- Practice address
- 228 Billerica Rd
Chelmsford, MA 01824-3604 - Phone
- (978) 250-6040
- Fax
- (978) 244-6663
- NPI assigned
- Sep 18, 2008
- 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 | 5676 | MA | Primary |
Addresses
Primary practice location
228 Billerica Rd
Chelmsford, MA 01824-3604
Mailing address
147 Milk St
Boston, MA 02109-4806
Phone (617) 559-8051
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0368199 | Medicaid | MA | |
| Y67122 | Other | MA | BLUE CROSS BLUE SHEILD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5676 | MA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atrius Health, Inc. | Physical Therapist | Current | Accepting new patients |
| Atrius Health, Inc. | Physical Therapist | Current | Accepting new patients |
Locations
147 Milk St
Boston, MA 02109
Phone (617) 421-2508
133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000
147 Milk St
Fl 9
Boston, MA 02109
Phone (617) 559-8051
1611 Cambridge St
Cambridge, MA 02138
Phone (617) 661-5100
228 Billerica Rd
Chelmsford, MA 01824
Phone (978) 250-6000
2 Essex Dr
Peabody, MA 01960
Phone (978) 532-6111
Interoperability endpoints
- crepucci14353@direct.atrius.masshiway.net
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221696000000",
"number": "1104075779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "147 MILK ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021094806",
"telephone_number": "617-559-8051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "228 BILLERICA RD",
"city": "CHELMSFORD",
"state": "MA",
"postal_code": "018243604",
"telephone_number": "978-250-6040",
"fax_number": "978-244-6663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REPUCCI",
"first_name": "CELIA",
"middle_name": "M.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-18",
"last_updated": "2008-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "5676",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0368199",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD",
"identifier": "Y67122",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chelmsford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.