Individual provider Active NPI

Elizabeth Ann Chasse, DPT

  • Physical Therapist
  • West Roxbury, MA
National Provider Identifier
1215282769
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
20071 Issued in MA
Practice address
1914 Centre St
West Roxbury, MA 02132-2535
Phone
(617) 323-8377
Fax
(617) 323-8077
NPI assigned
Jul 20, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT32269 FL
Physical Therapist 225100000X 20071 MA Primary

Addresses

Primary practice location

1914 Centre St
West Roxbury, MA 02132-2535

Mailing address

703 Granite St Ste 3
Braintree, MA 02184-5350
Phone (781) 961-3370

Other practice location 1

3903 Northdale Blvd Ste 111W
Tampa, FL 33624-1853
Phone (813) 418-7350

Other practice location 2

6224 Fayetteville Rd.
Suite 101
Durham, NC 27713
Phone (919) 484-0033

Other practice location 3

8200 Bryan Dairy Rd Ste 150
Largo, FL 33777-1355
Phone (727) 565-0312

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1342742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1215282769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 GRANITE ST STE 3",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021845350",
            "telephone_number": "781-961-3370",
            "fax_number": "781-961-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1914 CENTRE ST",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021322535",
            "telephone_number": "617-323-8377",
            "fax_number": "617-323-8077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3903 Northdale Blvd Ste 111W",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336241853",
            "country_code": "US",
            "telephone_number": "813-418-7350",
            "fax_number": "844-965-9690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6224 Fayetteville Rd.",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "27713",
            "country_code": "US",
            "telephone_number": "919-484-0033",
            "fax_number": "919-484-3008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8200 Bryan Dairy Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "FL",
            "postal_code": "337771355",
            "country_code": "US",
            "telephone_number": "727-565-0312",
            "fax_number": "844-214-1485",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHASSE",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-20",
        "last_updated": "2022-07-21",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT32269",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "20071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Roxbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.