Active NPI
Maria E. Stern
- Orthopedic Physical Therapist
- Pittsfield, MA
National Provider Identifier
1306375472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT4870
- Practice address
- 169 Valentine Rd
Pittsfield, MA 01201-3042 - Phone
- (413) 445-2300
- NPI assigned
- Jun 12, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | 040.0133970 | VT | |
| Geriatric Physical Therapist | 2251G0304X | 26213 | MA | |
| Orthopedic Physical Therapist | 2251X0800X | 4911 | NH | |
| Orthopedic Physical Therapist | 2251X0800X | PT4870 | ME | Primary |
Addresses
Primary practice location
169 Valentine Rd
Pittsfield, MA 01201-3042
Mailing address
169 Valentine Rd
Pittsfield, MA 01201-3042
Phone (413) 445-2300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT4870 | Other | ME | WORKERS' COMPENSATION |
| PT4870 | Medicaid | ME |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 26213 | MA | MD | Geriatric Physical Therapist |
| 040.0133970 | VT | MD | Geriatric Physical Therapist |
| 4911 | NH | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Brunswick Physical Therapy P.a. | Geriatrics | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658966400000",
"number": "1306375472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "169 VALENTINE RD",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "012013042",
"telephone_number": "413-445-2300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "169 VALENTINE RD",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "012013042",
"telephone_number": "413-445-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STERN",
"first_name": "MARIA",
"middle_name": "E.",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-12",
"last_updated": "2022-07-28",
"certification_date": "2022-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "VT",
"license": "040.0133970",
"primary": false
},
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "MA",
"license": "26213",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NH",
"license": "4911",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "ME",
"license": "PT4870",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS' COMPENSATION",
"identifier": "PT4870",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PT4870",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pittsfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.