Active NPI
Anna Squires, PT
- Physical Therapist
- Dedham, MA
National Provider Identifier
1356662217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 18291
- Practice address
- 200 Providence Highway
Dedham, MA 02026-1881 - Phone
- (781) 326-8332
- NPI assigned
- Jun 15, 2010
- Last updated
- Jun 15, 2010
- 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 | 18291 | MA | Primary |
Addresses
Primary practice location
200 Providence Highway
Dedham, MA 02026-1881
Mailing address
74 Belmont St
Watertown, MA 02472-2908
Phone (508) 826-9660
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
| License | State | Type | Specialty |
|---|---|---|---|
| 18291 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276560000000",
"number": "1356662217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "74 BELMONT ST",
"city": "WATERTOWN",
"state": "MA",
"postal_code": "024722908",
"telephone_number": "508-826-9660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 PROVIDENCE HIGHWAY",
"city": "DEDHAM",
"state": "MA",
"postal_code": "020261881",
"telephone_number": "781-326-8332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SQUIRES",
"first_name": "ANNA",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-15",
"last_updated": "2010-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "18291",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dedham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.