Active NPI
Elyse Harrop
- Physical Therapist
- Quincy, MA
National Provider Identifier
1164831392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 21247
- Practice address
- 111 Willard St
Ste 2a
Quincy, MA 02169-1200 - Phone
- (617) 471-4491
- Fax
- (617) 471-1114
- NPI assigned
- Aug 13, 2014
- Last updated
- Aug 13, 2014
- 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 | 21247 | MA | Primary |
Addresses
Primary practice location
111 Willard St
Ste 2a
Quincy, MA 02169-1200
Mailing address
74 Hawkins St
Plainville, MA 02762-2307
Phone (617) 471-4491
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 |
|---|---|---|---|
| 21247 | MA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dufer LLC | Physical Therapist | Current | Accepting new patients |
Locations
179 Great Rd
Ste 111B
Acton, MA 01720
Phone (617) 860-6426
235 Cypress St
Ste 110
Brookline, MA 02445
Phone (617) 860-6430
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407888000000",
"number": "1164831392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "74 HAWKINS ST",
"city": "PLAINVILLE",
"state": "MA",
"postal_code": "027622307",
"telephone_number": "617-471-4491",
"fax_number": "617-471-1114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 WILLARD ST",
"address_2": "STE 2A",
"city": "QUINCY",
"state": "MA",
"postal_code": "021691200",
"telephone_number": "617-471-4491",
"fax_number": "617-471-1114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARROP",
"first_name": "ELYSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-13",
"last_updated": "2014-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "21247",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Quincy, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2014; 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.