Active NPI
Michelle Jeanette Verfaillie, PTA
- Physical Therapy Assistant
- Burlington, MA
National Provider Identifier
1205082484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 6101
- Practice address
- 3 Burlington Woods
Suite 304
Burlington, MA 01803-4514 - Phone
- (781) 270-0222
- NPI assigned
- Aug 7, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 6101 | MA | Primary |
Addresses
Primary practice location
3 Burlington Woods
Suite 304
Burlington, MA 01803-4514
Mailing address
39 Kimball Ave
Ipswich, MA 01938-1206
Phone (978) 312-1689
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 |
|---|---|---|---|
| 6101 | MA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218067200000",
"number": "1205082484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 KIMBALL AVE",
"city": "IPSWICH",
"state": "MA",
"postal_code": "019381206",
"telephone_number": "978-312-1689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 BURLINGTON WOODS",
"address_2": "SUITE 304",
"city": "BURLINGTON",
"state": "MA",
"postal_code": "018034514",
"telephone_number": "781-270-0222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERFAILLIE",
"first_name": "MICHELLE",
"middle_name": "JEANETTE",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-07",
"last_updated": "2008-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MA",
"license": "6101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burlington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.