Active NPI
Mary P Schneider, MS
- Physical Therapist
- Quincy, MA
National Provider Identifier
1336239110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11252
- Practice address
- 21 Totman St
1St Floor
Quincy, MA 02169-7564 - Phone
- (161) 777-0416
- NPI assigned
- Oct 13, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11252 | MA | Primary |
Addresses
Primary practice location
21 Totman St
1St Floor
Quincy, MA 02169-7564
Mailing address
340 Pond St
Weymouth, MA 02190-1330
Phone (167) 177-0416
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SCY68000 | Other | BCBS OF MASSACHUSETTS |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11252 | MA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J.B. Rehabilitation Associates, Inc | Physical Therapist | Past | 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.
-
- Orthopedic Physical Therapist
- Quincy, MA
- NPI 1528003951
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201564800000",
"number": "1336239110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 POND ST",
"city": "WEYMOUTH",
"state": "MA",
"postal_code": "021901330",
"telephone_number": "167-177-0416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 TOTMAN ST",
"address_2": "1ST FLOOR",
"city": "QUINCY",
"state": "MA",
"postal_code": "021697564",
"telephone_number": "161-777-0416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHNEIDER",
"first_name": "MARY",
"middle_name": "P",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-13",
"last_updated": "2008-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "11252",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MASSACHUSETTS",
"identifier": "SCY68000",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Quincy, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.