Active NPI
Casey Mazzotti
- Physical Therapist
- Watertown, MA
National Provider Identifier
1114419298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 23602
- Practice address
- 135 N Beacon St
Watertown, MA 02472-2751 - Phone
- (617) 923-3500
- NPI assigned
- Jun 4, 2018
- Last updated
- Jun 4, 2018
- 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 | 23602 | MA | Primary |
Addresses
Primary practice location
135 N Beacon St
Watertown, MA 02472-2751
Mailing address
100 Heard St Unit 511
Chelsea, MA 02150-1972
Phone (330) 472-4954
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528070400000",
"number": "1114419298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 HEARD ST UNIT 511",
"city": "CHELSEA",
"state": "MA",
"postal_code": "021501972",
"telephone_number": "330-472-4954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 N BEACON ST",
"city": "WATERTOWN",
"state": "MA",
"postal_code": "024722751",
"telephone_number": "617-923-3500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAZZOTTI",
"first_name": "CASEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-04",
"last_updated": "2018-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "23602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Watertown, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.