Active NPI
Eileen Mazzulli, PT
- Physical Therapist
- Hingham, MA
National Provider Identifier
1194968222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6017
- Practice address
- Linden Ponds Outpatient Rehabilitation Clinic
205 Linden Ponds Way
Hingham, MA 02043 - Phone
- (781) 534-7160
- Fax
- (781) 534-7382
- NPI assigned
- Apr 20, 2009
- 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 Therapist | 225100000X | 6017 | MA | Primary |
Addresses
Primary practice location
Linden Ponds Outpatient Rehabilitation Clinic
205 Linden Ponds Way
Hingham, MA 02043
Mailing address
Linden Ponds Outpatient Rehabilitation Clinic
205 Linden Ponds Way
Hingham, MA 02043
Phone (781) 534-7160
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 |
|---|---|---|---|
| 6017 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240185600000",
"number": "1194968222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "LINDEN PONDS OUTPATIENT REHABILITATION CLINIC",
"address_2": "205 LINDEN PONDS WAY",
"city": "HINGHAM",
"state": "MA",
"postal_code": "02043",
"telephone_number": "781-534-7160",
"fax_number": "781-534-7382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "LINDEN PONDS OUTPATIENT REHABILITATION CLINIC",
"address_2": "205 LINDEN PONDS WAY",
"city": "HINGHAM",
"state": "MA",
"postal_code": "02043",
"telephone_number": "781-534-7160",
"fax_number": "781-534-7382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAZZULLI",
"first_name": "EILEEN",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-20",
"last_updated": "2009-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "6017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hingham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.