Active NPI
Carolyn Dominguez Sacchiero, P.T.
- Physical Therapist
- Wayland, MA
National Provider Identifier
1225149131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10231
- Practice address
- 524 Boston Post Rd
Wayland, MA 01778-1833 - Phone
- (508) 358-4900
- NPI assigned
- Aug 31, 2006
- 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 Therapist | 225100000X | 10231 | MA | Primary |
Addresses
Primary practice location
524 Boston Post Rd
Wayland, MA 01778-1833
Mailing address
524 Boston Post Rd
Wayland, MA 01778-1833
Phone (508) 358-4900
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4401400 | Other | MA | CIGNA ORTHONET |
| 085841 | Other | MA | TUFTS |
| Y69138 | Other | MA | MEDICARE PTAN |
| AA114732 | Other | MA | HARVARD PILGRIM HEALTHCARE |
| Y67479 | Other | MA | BLUE CROSS BLUE SHIELD |
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": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370563200000",
"number": "1225149131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "524 BOSTON POST RD",
"city": "WAYLAND",
"state": "MA",
"postal_code": "017781833",
"telephone_number": "508-358-4900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "524 BOSTON POST RD",
"city": "WAYLAND",
"state": "MA",
"postal_code": "017781833",
"telephone_number": "508-358-4900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SACCHIERO",
"first_name": "CAROLYN",
"middle_name": "DOMINGUEZ",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2013-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "10231",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA ORTHONET",
"identifier": "4401400",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "085841",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "Y69138",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTHCARE",
"identifier": "AA114732",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "Y67479",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wayland, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.