Active NPI
Corinne Michelle Fairweather, MSPT
- Physical Therapist
- Milford, MA
National Provider Identifier
1164759734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 16966
- Practice address
- 7 Trinity Dr
Milford, MA 01757-1821 - Phone
- (508) 478-2444
- NPI assigned
- Nov 3, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 16966 | MA | Primary |
| Physical Therapist | 225100000X | 8377 | AZ | |
| Physical Therapist | 225100000X | 34003 | CA | |
| Physical Therapist | 225100000X | 1188240 | TX | |
| Physical Therapist | 225100000X | 070.017015 | IL | |
| Physical Therapist | 225100000X | 10149 | CO |
Addresses
Primary practice location
7 Trinity Dr
Milford, MA 01757-1821
Mailing address
7 Trinity Dr
Milford, MA 01757-1821
Phone (508) 478-2444
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8377 | AZ | MD | Chiropractor |
| 34003 | CA | MD | Physical Therapist |
| 10149 | CO | MD | Physical Therapist |
| 070.017015 | IL | MD | Physical Therapist |
| 16966 | MA | MD | Physical Therapist |
| 1188240 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257206400000",
"number": "1164759734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 TRINITY DR",
"city": "MILFORD",
"state": "MA",
"postal_code": "017571821",
"telephone_number": "508-478-2444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 TRINITY DR",
"city": "MILFORD",
"state": "MA",
"postal_code": "017571821",
"telephone_number": "508-478-2444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAIRWEATHER",
"first_name": "CORINNE",
"middle_name": "MICHELLE",
"credential": "MSPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-03",
"last_updated": "2009-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "16966",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "8377",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "34003",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1188240",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.017015",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "10149",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.