Individual provider Active NPI

Maryann Covelle, PT

  • Physical Therapist
  • Saugus, MA
National Provider Identifier
1184037384
Registry record updated Jun 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8024 Issued in MA
Practice address
320 Central St
Saugus, MA 01906-2371
Phone
(781) 233-4122
NPI assigned
Jun 4, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2014

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 8024 MA Primary

Addresses

Primary practice location

320 Central St
Saugus, MA 01906-2371

Mailing address

320 Central St
Saugus, MA 01906-2371
Phone (781) 233-4122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141031001371 MA Practitioner - Physical Therapist in Private Practice 3870714017 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Briggs Chiropractic Office P CGroup PAC ID 4486657053, 2 clinicians

Practice addresses (Care Compare)

320 Central St
Saugus, MA 01906-2371
Phone (781) 233-4122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8024MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Briggs Chiropractic Office, P.C. Physical Therapist CurrentSince Jun 11, 2014 Accepting new patients

Locations

320 Central St
Saugus, MA 01906
Phone (781) 233-1234

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401840000000",
    "number": "1184037384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 CENTRAL ST",
            "city": "SAUGUS",
            "state": "MA",
            "postal_code": "019062371",
            "telephone_number": "781-233-4122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 CENTRAL ST",
            "city": "SAUGUS",
            "state": "MA",
            "postal_code": "019062371",
            "telephone_number": "781-233-4122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COVELLE",
        "first_name": "MARYANN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-04",
        "last_updated": "2014-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "8024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saugus, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; 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.