NPIMap

Individual provider Active NPI

Gregg Squeglia, PT

  • Physical Therapist
  • Mashpee, MA
National Provider Identifier
1194706705
Registry record updated Apr 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
15536 Issued in MA
Practice address
9 Windermere Way
Mashpee, MA 02649-3448
Phone
(774) 521-4839
NPI assigned
Nov 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2011

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 15536 MA Primary

Addresses

Primary practice location

9 Windermere Way
Mashpee, MA 02649-3448

Mailing address

9 Windermere Way
Mashpee, MA 02649-3448
Phone (774) 521-4839

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

Practice roles

OrganizationSpecialtyStatusNew patients
True Fit Physical Therapy, LLC Physical Therapist Past Accepting new patients
Carroll Physical Therapy Physical Therapist PastSince Jun 20, 1999 Accepting new patients

Organizations & group practices 2

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": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302912000000",
    "number": "1194706705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 WINDERMERE WAY",
            "city": "MASHPEE",
            "state": "MA",
            "postal_code": "026493448",
            "telephone_number": "774-521-4839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 WINDERMERE WAY",
            "city": "MASHPEE",
            "state": "MA",
            "postal_code": "026493448",
            "telephone_number": "774-521-4839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SQUEGLIA",
        "first_name": "GREGG",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2011-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "15536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mashpee, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.