Individual provider Active NPI

Charles V Connors, PT

  • Physical Therapist
  • Mashpee, MA
National Provider Identifier
1275514747
Registry record updated Mar 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
16681 Issued in MA
Practice address
168 Industrial Dr
Unit 5
Mashpee, MA 02649-3404
Phone
(508) 477-4800
Fax
(508) 477-5377
NPI assigned
Nov 10, 2005
Last updated
Mar 8, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2013

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 16681 MA Primary

Addresses

Primary practice location

168 Industrial Dr
Unit 5
Mashpee, MA 02649-3404

Mailing address

168 Industrial Dr
Unit 5
Mashpee, MA 02649-3404
Phone (508) 477-4800

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
16681MAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362700800000",
    "number": "1275514747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 INDUSTRIAL DR",
            "address_2": "UNIT 5",
            "city": "MASHPEE",
            "state": "MA",
            "postal_code": "026493404",
            "telephone_number": "508-477-4800",
            "fax_number": "508-477-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 INDUSTRIAL DR",
            "address_2": "UNIT 5",
            "city": "MASHPEE",
            "state": "MA",
            "postal_code": "026493404",
            "telephone_number": "508-477-4800",
            "fax_number": "508-477-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNORS",
        "first_name": "CHARLES",
        "middle_name": "V",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2013-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "16681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mashpee, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.

Verify at the official NPI Registry.