Pamela Cavanaugh

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

108 N Main St
Sunderland, MA 01375-9502

Phone

(413) 665-8717

Fax

(413) 665-9383

NPI assigned

Jun 11, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Pamela Cavanaugh Professional name

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Shoreline Physical Therapy and Wellness LLC

  • Physical Therapy Assistant
  • Nantucket, MA
  • NPI 1336861491
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528675200000",
    "number": "1114410438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 MAPLE RIDGE RD",
            "city": "FLORENCE",
            "state": "MA",
            "postal_code": "010629749",
            "telephone_number": "413-230-6114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 N MAIN ST",
            "city": "SUNDERLAND",
            "state": "MA",
            "postal_code": "013759502",
            "telephone_number": "413-665-8717",
            "fax_number": "413-665-9383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVANAUGH",
        "first_name": "PAMELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-11",
        "last_updated": "2018-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "CAVANAUGH",
            "credential": "PT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kimberly Bourque, OTR/L
• John D Boyden, D.C.
• Samantha Lynn Brand, MS, OTR/L
• Mary Anne Bright, EDD, APRN, BC
• Anna Butler
• Charlie William L.L.C.
• Mary Chevalier
• Briana Cook
• Nancy Costa, LICSW
• Christine Anne Coughlin

• Community Health Worker in Sunderland, MA
• Providers in Sunderland, MA by specialty
• Community Health Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2018; 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.

Verify at the official NPI Registry.