Active NPI
Persis Gonsalves, PT
- Physical Therapist
- Chelmsford, MA
National Provider Identifier
1306112495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 19644
- Practice address
- 70 Boston Rd
Apt D313
Chelmsford, MA 01824-3049 - Phone
- (619) 228-3885
- NPI assigned
- Mar 22, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 19644 | MA | Primary |
| Physical Therapist | 225100000X | 5501015575 | MI | |
| Physical Therapist | 225100000X | 39725 | CA |
Addresses
Primary practice location
70 Boston Rd
Apt D313
Chelmsford, MA 01824-3049
Mailing address
10 Ruthellen Rd
Chelmsford, MA 01824-4017
Phone (619) 228-3885
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 |
|---|---|---|---|
| 39725 | CA | MD | Physical Therapist |
| 19644 | MA | MD | Physical Therapist |
| 5501015575 | MI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380153600000",
"number": "1306112495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 RUTHELLEN RD",
"city": "CHELMSFORD",
"state": "MA",
"postal_code": "018244017",
"telephone_number": "619-228-3885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 BOSTON RD",
"address_2": "APT D313",
"city": "CHELMSFORD",
"state": "MA",
"postal_code": "018243049",
"telephone_number": "619-228-3885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONSALVES",
"first_name": "PERSIS",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-22",
"last_updated": "2013-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "19644",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501015575",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "39725",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chelmsford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.