Active NPI
Joel Flecha, PT
- Physical Therapist
- Amherst, MA
National Provider Identifier
1184956484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 21510
- Practice address
- 334 College St
Amherst, MA 01002-2331 - Phone
- (309) 585-0142
- NPI assigned
- Feb 11, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 8742 | CT | |
| Physical Therapist | 225100000X | 21510 | MA | Primary |
Addresses
Primary practice location
334 College St
Amherst, MA 01002-2331
Mailing address
334 College St
Amherst, MA 01002-2331
Phone (309) 585-0142
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 |
|---|---|---|---|
| 21510 | MA | MD | Dentist |
| 8742 | CT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grey Physical Therapy & Sports Medicine Center of Enfield, PC | Physical Therapist | Past | Accepting new patients |
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.
-
- Physical Therapist
- Enfield, CT
- NPI 1205918653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434067200000",
"number": "1184956484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "334 COLLEGE ST",
"city": "AMHERST",
"state": "MA",
"postal_code": "010022331",
"telephone_number": "309-585-0142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "334 COLLEGE ST",
"city": "AMHERST",
"state": "MA",
"postal_code": "010022331",
"telephone_number": "309-585-0142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLECHA",
"first_name": "JOEL",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-11",
"last_updated": "2015-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "8742",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "21510",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Amherst, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.