Nolan Rothwell, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

24480 Issued in MA

Practice address

1681 Washington St Ste 1
Braintree, MA 02184-7951

Phone

(339) 987-4856

Fax

(339) 987-4858

NPI assigned

Aug 12, 2019

Last updated

Aug 12, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565568000000",
    "number": "1336795889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1681 WASHINGTON ST STE 1",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021847951",
            "telephone_number": "339-987-4856",
            "fax_number": "339-987-4858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1681 WASHINGTON ST STE 1",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021847951",
            "telephone_number": "339-987-4856",
            "fax_number": "339-987-4858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHWELL",
        "first_name": "NOLAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-12",
        "last_updated": "2019-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "24480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA ALLIED HEALTH",
            "identifier": "24480",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "WebPT",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1681 Washington St Ste 1",
            "city": "Braintree",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021847951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Physical Therapist in Braintree, MA
• Providers in Braintree, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; 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.