Organization Active NPI

Integrated Children'S Therapies

  • Pediatric Physical Therapist
  • Marlborough, MA
National Provider Identifier
1275844243
Registry record updated Jun 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
11054 Issued in MA
Legal business name
INTEGRATED CHILDREN'S THERAPIES
Practice address
72 Jefferson St
Suite 202
Marlborough, MA 01752-1259
Phone
(508) 485-5650
Fax
(508) 485-5423
NPI assigned
Jun 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2010

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

Authorized official

Name
Mrs. Julie A Brown Dalbec, OT/L
Title
Administrative Director
Phone
(508) 485-5650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251P0200X 11054 MA Primary

Addresses

Primary practice location

72 Jefferson St
Suite 202
Marlborough, MA 01752-1259

Mailing address

72 Jefferson St
Suite 202
Marlborough, MA 01752-1259
Phone (508) 485-5650

National Provider Directory

National Provider Directory

Locations

72 Jefferson St
Ste 202
Marlborough, MA 01752
Phone (508) 485-5650

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277337600000",
    "number": "1275844243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 JEFFERSON ST",
            "address_2": "SUITE 202",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017521259",
            "telephone_number": "508-485-5650",
            "fax_number": "508-485-5423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 JEFFERSON ST",
            "address_2": "SUITE 202",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017521259",
            "telephone_number": "508-485-5650",
            "fax_number": "508-485-5423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED CHILDREN'S THERAPIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-24",
        "last_updated": "2010-06-24",
        "status": "A",
        "authorized_official_last_name": "DALBEC",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "A BROWN",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "508-485-5650",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OT/L"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "MA",
            "license": "11054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; 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.