Individual provider Active NPI

Mary Kathleen Lessard, PT, D.P.T.

  • Physical Therapist
  • Norwood, MA
National Provider Identifier
1265858526
Registry record updated Sep 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
20970 Issued in MA
Practice address
825 Washington Street
Ste 280
Norwood, MA 02062-4641
Phone
(781) 769-2040
Fax
(781) 769-1914
NPI assigned
Mar 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 20970 MA Primary

Addresses

Primary practice location

825 Washington Street
Ste 280
Norwood, MA 02062-4641

Mailing address

825 Washington Street
Ste 280
Norwood, MA 02062-4641
Phone (781) 769-2040

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

LicenseStateTypeSpecialty
20970MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy and Sports Rehab, Inc Past Accepting new patients
Train Boston Physical Therapy, Inc. Past Accepting new patients

Organizations & group practices 2

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": "1394496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536537600000",
    "number": "1265858526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 WASHINGTON STREET",
            "address_2": "STE 280",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020624641",
            "telephone_number": "781-769-2040",
            "fax_number": "781-769-1914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 WASHINGTON STREET",
            "address_2": "STE 280",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020624641",
            "telephone_number": "781-769-2040",
            "fax_number": "781-769-1914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESSARD",
        "first_name": "MARY",
        "middle_name": "KATHLEEN",
        "name_prefix": "Dr.",
        "credential": "PT, D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-11",
        "last_updated": "2018-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "20970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwood, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; 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.