Individual provider Active NPI

Maria E. Stern

  • Orthopedic Physical Therapist
  • Pittsfield, MA
National Provider Identifier
1306375472
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT4870 Issued in ME
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

Updated by the provider on Jul 28, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PT4870OtherMEWORKERS' COMPENSATION
PT4870MedicaidME

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

LicenseStateTypeSpecialty
26213MAMDGeriatric Physical Therapist
040.0133970VTMDGeriatric Physical Therapist
4911NHMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Brunswick Physical Therapy P.a. Geriatrics CurrentSince Jul 30, 2023 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.

Verify at the official NPI Registry.