Active NPI
Michael Philip Perkins, DPT
- Physical Therapist
- Leominster, MA
National Provider Identifier
1417669383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 22787
- Practice address
- 54 Williams St # 3276
Leominster, MA 01453-3276 - Phone
- (978) 906-0631
- NPI assigned
- Dec 22, 2022
- Sex
- Male
- 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 | 22787 | MA | Primary |
Addresses
Primary practice location
54 Williams St # 3276
Leominster, MA 01453-3276
Mailing address
35 South Rd
Holden, MA 01520-1002
Phone (413) 687-1214
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 |
|---|---|---|---|
| 22787 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671667200000",
"number": "1417669383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 SOUTH RD",
"city": "HOLDEN",
"state": "MA",
"postal_code": "015201002",
"telephone_number": "413-687-1214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54 WILLIAMS ST # 3276",
"city": "LEOMINSTER",
"state": "MA",
"postal_code": "014533276",
"telephone_number": "978-906-0631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERKINS",
"first_name": "MICHAEL",
"middle_name": "PHILIP",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-12-22",
"last_updated": "2022-12-22",
"certification_date": "2022-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "22787",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leominster, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.