Individual provider Active NPI

Joanna M Gerety, PT

  • Physical Therapist
  • Burlington, MA
National Provider Identifier
1245387018
Registry record updated Oct 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
19470 Issued in MA
Practice address
101 Cambridge Street
C/O Orthopaedics Plus
Burlington, MA 01803-3766
Phone
(781) 229-8011
Fax
(781) 229-8374
NPI assigned
Jan 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2012

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 2912 NH
Physical Therapist 225100000X 19470 MA Primary

Addresses

Primary practice location

101 Cambridge Street
C/O Orthopaedics Plus
Burlington, MA 01803-3766

Mailing address

15 Rye Street
Ste 125 Abilities Rehabilitation Center, LLC
Portsmouth, NH 03801
Phone (603) 610-2200

Other identifiers 4

IdentifierTypeStateIssuer
08Y005403NH01OtherNHANTHEM PROVIDER NUMBER
542065286OtherNHTAX IDENTIFICATION NUMBER
04-3115319OtherMATAX ID ORTHOPAEDICS PLUS
626470OtherNHHPHC PROVIDER NUMBER

Other names 1

  • Ms. Joanna M Howard Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Burlington Physical Therapy, PC, Dba Orthopaedics Plus Physical Therapist Past Accepting new patients
Merrimack Valley Physical Therapy Physical Therapist PastSince Jan 12, 2004 Accepting new patients
Burlington Physical Therapy, PC Dba Orthopaedics Plus Physical Therapist Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350000000000",
    "number": "1245387018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 RYE STREET",
            "address_2": "STE 125 ABILITIES REHABILITATION CENTER, LLC",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "03801",
            "telephone_number": "603-610-2200",
            "fax_number": "603-610-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CAMBRIDGE STREET",
            "address_2": "C/O ORTHOPAEDICS PLUS",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018033766",
            "telephone_number": "781-229-8011",
            "fax_number": "781-229-8374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERETY",
        "first_name": "JOANNA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2012-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "2912",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "19470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "08Y005403NH01",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION NUMBER",
            "identifier": "542065286",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID ORTHOPAEDICS PLUS",
            "identifier": "04-3115319",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPHC PROVIDER NUMBER",
            "identifier": "626470",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANNA",
            "last_name": "HOWARD",
            "middle_name": "M",
            "prefix": "MS.",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Oct 12, 2012; 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.