Active NPI
Raymond Choiniere, PT
- Physical Therapist
- Marblehead, MA
National Provider Identifier
1225012503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6525
- Practice address
- 1 Widger Rd
Marblehead, MA 01945 - Phone
- (781) 631-8250
- Fax
- (781) 639-2060
- NPI assigned
- Dec 1, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6525 | MA | Primary |
Addresses
Primary practice location
1 Widger Rd
Marblehead, MA 01945
Mailing address
1 Widger Rd
Marblehead, MA 01945
Phone (781) 631-8250
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y66616 | Other | MA | BC BS |
| 0363685 | Medicaid | MA |
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 |
|---|---|---|---|
| 6525 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291334400000",
"number": "1225012503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 WIDGER RD",
"city": "MARBLEHEAD",
"state": "MA",
"postal_code": "01945",
"telephone_number": "781-631-8250",
"fax_number": "781-639-2060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 WIDGER RD",
"city": "MARBLEHEAD",
"state": "MA",
"postal_code": "01945",
"telephone_number": "781-631-8250",
"fax_number": "781-639-2060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOINIERE",
"first_name": "RAYMOND",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-01",
"last_updated": "2010-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "6525",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS",
"identifier": "Y66616",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0363685",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Marblehead, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.