Christine Amaral Detore, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

16936 Issued in MA

Practice address

40 N Main St
C O Active Physical Therapy
Bellingham, MA 02019

Phone

(508) 966-2717

Fax

(508) 966-2095

NPI assigned

Jul 19, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

C and S Rehabilitation IncorpGroup PAC ID 0345222394, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• C & S Rehabilitation Incorp

  dba Active Physical Therapy

  • Physical Therapist
  • Bellingham, MA
  • NPI 1871514083
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376562504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 N MAIN ST",
            "address_2": "C O ACTIVE PHYSICAL THERAPY",
            "city": "BELLINGHAM",
            "state": "MA",
            "postal_code": "02019",
            "telephone_number": "508-966-2717",
            "fax_number": "508-966-2095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 N MAIN ST",
            "address_2": "C O ACTIVE PHYSICAL THERAPY",
            "city": "BELLINGHAM",
            "state": "MA",
            "postal_code": "02019",
            "telephone_number": "508-966-2717",
            "fax_number": "508-966-2095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETORE",
        "first_name": "CHRISTINE",
        "middle_name": "AMARAL",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "16936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Nicole Dayaw
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• Kari Marie Demoura, PA-C
• Halle Derouin, RDN, LDN
• Christopher Neal Devaney, PT
• Ida M Doetsch, BS
• Staci Dooney, MED, LMHC
• Carleen Christine Elwin, PTA
• Erin McManus Walsh DMD PLLC

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

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.