Organization Active NPI

Infinita PT

  • Physical Therapist
  • Boston, MA
National Provider Identifier
1356676662
Registry record updated Oct 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
15405 Issued in MA
Legal business name
INFINITA PT
Practice address
125 Lewis Wharf
Boston, MA 02110-3926
Phone
(617) 455-1592
Fax
(617) 523-3063
NPI assigned
Oct 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2009

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

Authorized official

Name
Marlena Pelliccio
Title
Manager/ PT
Phone
(617) 455-1592

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 15405 MA Primary

Addresses

Primary practice location

125 Lewis Wharf
Boston, MA 02110-3926

Mailing address

125 Lewis Wharf
Boston, MA 02110-3926
Phone (617) 455-1592

Other names 1

  • Marlena Pelliccio PT Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1254700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254700800000",
    "number": "1356676662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 LEWIS WHARF",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021103926",
            "telephone_number": "617-455-1592",
            "fax_number": "617-523-3063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 LEWIS WHARF",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021103926",
            "telephone_number": "617-455-1592",
            "fax_number": "617-523-3063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITA PT",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-05",
        "last_updated": "2009-10-05",
        "status": "A",
        "authorized_official_last_name": "PELLICCIO",
        "authorized_official_first_name": "MARLENA",
        "authorized_official_title_or_position": "MANAGER/ PT",
        "authorized_official_telephone_number": "617-455-1592"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "15405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marlena Pelliccio PT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2009; 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.