Active NPI
Caroline Wahito Maina
- Physical Therapy Assistant
- Brockton, MA
National Provider Identifier
1184070773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 9118
- Practice address
- 30 Auna Dr
Apt 8
Brockton, MA 02301-3674 - Phone
- (978) 328-9166
- Fax
- (857) 999-3911
- NPI assigned
- May 12, 2016
- 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 Therapy Assistant | 225200000X | 9118 | MA | Primary |
Addresses
Primary practice location
30 Auna Dr
Apt 8
Brockton, MA 02301-3674
Mailing address
30 Auna Dr
Apt 8
Brockton, MA 02301-3674
Phone (978) 328-9166
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 |
|---|---|---|---|
| 9118 | MA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463011200000",
"number": "1184070773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 AUNA DR",
"address_2": "APT 8",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023013674",
"telephone_number": "978-328-9166",
"fax_number": "857-999-3911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 AUNA DR",
"address_2": "APT 8",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023013674",
"telephone_number": "978-328-9166",
"fax_number": "857-999-3911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAINA",
"first_name": "CAROLINE",
"middle_name": "WAHITO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-12",
"last_updated": "2016-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MA",
"license": "9118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.