Active NPI
Marianne Correale, LPTA
- Physical Therapy Assistant
- Everett, MA
National Provider Identifier
1245686856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 8411
- Practice address
- 15 Elliott Rd
Everett, MA 02149-3012 - Phone
- (617) 501-9233
- NPI assigned
- May 12, 2016
- Sex
- Female
- 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 Therapy Assistant | 225200000X | 8411 | MA | Primary |
Addresses
Primary practice location
15 Elliott Rd
Everett, MA 02149-3012
Mailing address
15 Elliott Rd
Everett, MA 02149-3012
Phone (617) 501-9233
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8411 | Other | MA | LICENSED PHYSICAL THERAPIST ASSISTANT |
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 |
|---|---|---|---|
| 8411 | MA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472515200000",
"number": "1245686856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 ELLIOTT RD",
"city": "EVERETT",
"state": "MA",
"postal_code": "021493012",
"telephone_number": "617-501-9233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 ELLIOTT RD",
"city": "EVERETT",
"state": "MA",
"postal_code": "021493012",
"telephone_number": "617-501-9233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORREALE",
"first_name": "MARIANNE",
"credential": "LPTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-12",
"last_updated": "2016-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MA",
"license": "8411",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED PHYSICAL THERAPIST ASSISTANT",
"identifier": "8411",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Everett, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.