Active NPI
Geoff Elia, PT
- Physical Therapist
- West Springfield, MA
National Provider Identifier
1184817546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8109
- Practice address
- 1275 Elm St
West Springfield, MA 01089-1820 - Phone
- (413) 785-1153
- Fax
- (413) 781-4951
- NPI assigned
- Aug 20, 2007
- Sex
- Male
- 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 | 8109 | MA | Primary |
Addresses
Primary practice location
1275 Elm St
West Springfield, MA 01089-1820
Mailing address
1275 Elm St
West Springfield, MA 01089-1820
Phone (413) 785-1153
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8109 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187568000000",
"number": "1184817546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1275 ELM ST",
"city": "WEST SPRINGFIELD",
"state": "MA",
"postal_code": "010891820",
"telephone_number": "413-785-1153",
"fax_number": "413-781-4951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1275 ELM ST",
"city": "WEST SPRINGFIELD",
"state": "MA",
"postal_code": "010891820",
"telephone_number": "413-785-1153",
"fax_number": "413-781-4951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELIA",
"first_name": "GEOFF",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-20",
"last_updated": "2007-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "8109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.