Active NPI
Warren Dale Aja, PT
- Physical Therapist
- Greenfield, MA
National Provider Identifier
1336291228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 17215
- Practice address
- 95 Laurel St
Greenfield, MA 01301-3106 - Phone
- (413) 774-3143
- NPI assigned
- Jan 18, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 17215 | MA | Primary |
Addresses
Primary practice location
95 Laurel St
Greenfield, MA 01301-3106
Mailing address
84 W Mountain Rd
Bernardston, MA 01337-9460
Phone (413) 648-0237
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 |
|---|---|---|---|
| 17215 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336291228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "84 W MOUNTAIN RD",
"city": "BERNARDSTON",
"state": "MA",
"postal_code": "013379460",
"telephone_number": "413-648-0237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 LAUREL ST",
"city": "GREENFIELD",
"state": "MA",
"postal_code": "013013106",
"telephone_number": "413-774-3143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AJA",
"first_name": "WARREN",
"middle_name": "DALE",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "17215",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.