Active NPI
Paula Joyce Brunell, P.T.
- Physical Therapist
- Shrewsbury, MA
National Provider Identifier
1265659643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5166
- Practice address
- 214 Lake St
Child Development Building
Shrewsbury, MA 01545-3960 - Phone
- (508) 856-4202
- Fax
- (508) 845-2783
- NPI assigned
- Apr 19, 2007
- 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 Therapist | 225100000X | 5166 | MA | Primary |
Addresses
Primary practice location
214 Lake St
Child Development Building
Shrewsbury, MA 01545-3960
Mailing address
185 June St
Worcester, MA 01602-3249
Phone (508) 791-4257
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 |
|---|---|---|---|
| 5166 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265659643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 JUNE ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016023249",
"telephone_number": "508-791-4257",
"fax_number": "508-845-2783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 LAKE ST",
"address_2": "CHILD DEVELOPMENT BUILDING",
"city": "SHREWSBURY",
"state": "MA",
"postal_code": "015453960",
"telephone_number": "508-856-4202",
"fax_number": "508-845-2783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUNELL",
"first_name": "PAULA",
"middle_name": "JOYCE",
"name_prefix": "Ms.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "5166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shrewsbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.