Individual provider Active NPI

Lynn Marie Sicuro, R.P.T.

  • Physical Therapist
  • Marlborough, MA
National Provider Identifier
1144401696
Registry record updated Nov 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8312 Issued in MA
Practice address
221 Boston Post Rd E
Suite 150
Marlborough, MA 01752-3527
Phone
(508) 342-0304
Fax
(508) 624-0391
NPI assigned
Nov 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 8312 MA Primary

Addresses

Primary practice location

221 Boston Post Rd E
Suite 150
Marlborough, MA 01752-3527

Mailing address

221 Boston Post Rd E
Suite 150
Marlborough, MA 01752-3527
Phone (508) 342-0304

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

LicenseStateTypeSpecialty
8312MAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196035200000",
    "number": "1144401696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 BOSTON POST RD E",
            "address_2": "SUITE 150",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017523527",
            "telephone_number": "508-342-0304",
            "fax_number": "508-624-0391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 BOSTON POST RD E",
            "address_2": "SUITE 150",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017523527",
            "telephone_number": "508-342-0304",
            "fax_number": "508-624-0391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SICURO",
        "first_name": "LYNN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "R.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-26",
        "last_updated": "2007-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "8312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.

Verify at the official NPI Registry.