Active NPI
Thea Weingarden
- Physical Therapist
- Boston, MA
National Provider Identifier
1437856184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 25333
- Practice address
- 292 Newbury St Ste 317
Boston, MA 02115-2801 - Phone
- (617) 588-2110
- NPI assigned
- Feb 13, 2023
- Sex
- Female
- 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 | 25333 | MA | Primary |
Addresses
Primary practice location
292 Newbury St Ste 317
Boston, MA 02115-2801
Mailing address
530 Medford St
Charlestown, MA 02129-1405
Phone (914) 552-9605
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 |
|---|---|---|---|
| 25333 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676246400000",
"number": "1437856184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 MEDFORD ST",
"city": "CHARLESTOWN",
"state": "MA",
"postal_code": "021291405",
"telephone_number": "914-552-9605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "292 NEWBURY ST STE 317",
"city": "BOSTON",
"state": "MA",
"postal_code": "021152801",
"telephone_number": "617-588-2110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINGARDEN",
"first_name": "THEA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-13",
"last_updated": "2023-02-13",
"certification_date": "2023-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "25333",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Feb 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.