Individual provider Active NPI

Ann M Nolan, PT CHT

  • Physical Therapist
  • Orleans, MA
National Provider Identifier
1386789204
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
25834 Issued in MA
Practice address
9 West Rd Ste 160
Orleans, MA 02653-3200
Phone
(508) 255-4181
Fax
(508) 255-0424
NPI assigned
Feb 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 0090121 NY
Physical Therapist 225100000X 004228 CT
Physical Therapist 225100000X 25834 MA Primary

Addresses

Primary practice location

9 West Rd Ste 160
Orleans, MA 02653-3200

Mailing address

51 Chatham Crest Dr
Chatham, MA 02633-1054
Phone (914) 522-2523

Other identifiers 3

IdentifierTypeStateIssuer
1386789204OtherCTAETNA, OXFORD
3609963OtherCTAENTA
P3088554OtherCTOXFORD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221102002110 MA Practitioner - Physical Therapist in Private Practice 9537056221 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yannatos Physical Therapy IncGroup PAC ID 8123474269, 4 clinicians

Practice addresses (Care Compare)

1105 Route 28
South Yarmouth, MA 02664-4457
Phone (508) 619-7902

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004228CTMDClinical Social Worker
4228CTMDEndodontist
25834MAMDPharmacist
0090121NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Yannatos Physical Therapy Inc CurrentSince Jul 23, 2024 Accepting new patients
Start Inc PastSince Oct 2, 2022 Accepting new patients

Locations

439 Station Ave
South Yarmouth, MA 02664
Phone (508) 237-7588

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1386789204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 CHATHAM CREST DR",
            "city": "CHATHAM",
            "state": "MA",
            "postal_code": "026331054",
            "telephone_number": "914-522-2523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 WEST RD STE 160",
            "city": "ORLEANS",
            "state": "MA",
            "postal_code": "026533200",
            "telephone_number": "508-255-4181",
            "fax_number": "508-255-0424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLAN",
        "first_name": "ANN",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "PT CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0090121",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "004228",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "25834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA, OXFORD",
            "identifier": "1386789204",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AENTA",
            "identifier": "3609963",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3088554",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orleans, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; 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.