Active NPI
Bayani Anastacio Jr., P.T.
- Physical Therapist
- Chelsea, MA
National Provider Identifier
1346491743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 17123
- Practice address
- 255 Central Ave
Chelsea, MA 02150-3508 - Phone
- (617) 884-5700
- NPI assigned
- Oct 2, 2008
- Last updated
- Oct 2, 2008
- Sex
- Male
- 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 | 17123 | MA | Primary |
Addresses
Primary practice location
255 Central Ave
Chelsea, MA 02150-3508
Mailing address
33 Maple St
Suite 208
Malden, MA 02148-3866
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 |
|---|---|---|---|
| 17123 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222905600000",
"number": "1346491743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 MAPLE ST",
"address_2": "SUITE 208",
"city": "MALDEN",
"state": "MA",
"postal_code": "021483866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 CENTRAL AVE",
"city": "CHELSEA",
"state": "MA",
"postal_code": "021503508",
"telephone_number": "617-884-5700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANASTACIO",
"first_name": "BAYANI",
"name_suffix": "Jr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-02",
"last_updated": "2008-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "17123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chelsea, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.