NPIMap

Individual provider Active NPI

Michele Delvecchio Bickford, PHYSICAL THERAPIST

  • Orthopedic Physical Therapist
  • South Weymouth, MA
National Provider Identifier
1275728552
Registry record updated Sep 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
8249 Issued in MA
Practice address
541 Main St Ste 103
Stetson Place
South Weymouth, MA 02190-1857
Phone
(781) 331-9600
Fax
(781) 335-1556
NPI assigned
Sep 11, 2007
Last updated
Sep 11, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 8249 MA Primary

Addresses

Primary practice location

541 Main St Ste 103
Stetson Place
South Weymouth, MA 02190-1857

Mailing address

541 Main St Ste 103
Stetson Place
South Weymouth, MA 02190-1857
Phone (781) 331-9600

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

NPI Registry JSON

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189468800000",
    "number": "1275728552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 MAIN ST STE 103",
            "address_2": "STETSON PLACE",
            "city": "SOUTH WEYMOUTH",
            "state": "MA",
            "postal_code": "021901857",
            "telephone_number": "781-331-9600",
            "fax_number": "781-335-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 MAIN ST STE 103",
            "address_2": "STETSON PLACE",
            "city": "SOUTH WEYMOUTH",
            "state": "MA",
            "postal_code": "021901857",
            "telephone_number": "781-331-9600",
            "fax_number": "781-335-1556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BICKFORD",
        "first_name": "MICHELE",
        "middle_name": "DELVECCHIO",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-11",
        "last_updated": "2007-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MA",
            "license": "8249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Weymouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.

Verify at the official NPI Registry.