Individual provider Active NPI

Mary Ann Erpelo Ricarde

  • Physical Therapist
  • Danvers, MA
National Provider Identifier
1306115373
Registry record updated Dec 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
009239 Issued in CT
Practice address
90 Lindall Street
Genesis - Hunt Nursing and Rehab
Danvers, MA 01923
Phone
(267) 244-3064
NPI assigned
Dec 21, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2011

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 009239 CT Primary

Addresses

Primary practice location

90 Lindall Street
Genesis - Hunt Nursing and Rehab
Danvers, MA 01923

Mailing address

90 Lindall Street
Genesis - Hunt Nursing and Rehab
Danvers, MA 01923
Phone (267) 244-3064

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

LicenseStateTypeSpecialty
009239CTMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1324425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324425600000",
    "number": "1306115373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 LINDALL STREET",
            "address_2": "GENESIS - HUNT NURSING AND REHAB",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "01923",
            "telephone_number": "267-244-3064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 LINDALL STREET",
            "address_2": "GENESIS - HUNT NURSING AND REHAB",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "01923",
            "telephone_number": "267-244-3064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICARDE",
        "first_name": "MARY ANN",
        "middle_name": "ERPELO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-21",
        "last_updated": "2011-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "009239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danvers, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; 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.