Active NPI
Sherri Carbonneau
- Physical Therapist
- Charlton, MA
National Provider Identifier
1386295616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6271
- Practice address
- 13 Timber Valley Dr
Charlton, MA 01507-1247 - Phone
- (508) 887-2008
- NPI assigned
- Sep 27, 2019
- Last updated
- Sep 27, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | 6271 | MA | Primary |
Addresses
Primary practice location
13 Timber Valley Dr
Charlton, MA 01507-1247
Mailing address
13 Timber Valley Dr
Charlton, MA 01507-1247
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 |
|---|---|---|---|
| 6271 | MA | MD | Geriatric Medicine (Internal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569542400000",
"number": "1386295616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13 TIMBER VALLEY DR",
"city": "CHARLTON",
"state": "MA",
"postal_code": "015071247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13 TIMBER VALLEY DR",
"city": "CHARLTON",
"state": "MA",
"postal_code": "015071247",
"telephone_number": "508-887-2008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARBONNEAU",
"first_name": "SHERRI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-27",
"last_updated": "2019-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "6271",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.