Active NPI
Michelle Lorraine Zande, MSPT
- Geriatric Physical Therapist
- Everett, MA
National Provider Identifier
1447455639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- 16371
- Practice address
- 103 Garland St
Everett, MA 02149-5066 - Phone
- (617) 381-7131
- NPI assigned
- Jun 18, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | 16371 | MA | Primary |
Addresses
Primary practice location
103 Garland St
Everett, MA 02149-5066
Mailing address
190 W 5TH St
Unit 3
South Boston, MA 02127-2612
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 |
|---|---|---|---|
| 16371 | MA | MD | Geriatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1447455639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 W 5TH ST",
"address_2": "UNIT 3",
"city": "SOUTH BOSTON",
"state": "MA",
"postal_code": "021272612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 GARLAND ST",
"city": "EVERETT",
"state": "MA",
"postal_code": "021495066",
"telephone_number": "617-381-7131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZANDE",
"first_name": "MICHELLE",
"middle_name": "LORRAINE",
"name_prefix": "Ms.",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "MA",
"license": "16371",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Everett, MA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.