Individual provider Active NPI

Cherie Grinestaff Hamelin, MSPT DPT

  • Physical Therapist
  • Burlington, MA
National Provider Identifier
1467563171
Registry record updated Dec 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
16787 Issued in MA
Practice address
101 Cambridge St
C/O Orthopaedics Plus
Burlington, MA 01803-3766
Phone
(781) 229-8011
Fax
(781) 229-8374
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 16787 MA Primary

Addresses

Primary practice location

101 Cambridge St
C/O Orthopaedics Plus
Burlington, MA 01803-3766

Mailing address

101 Cambridge St
C/O Orthopaedics Plus
Burlington, MA 01803-3766
Phone (781) 229-8011

Other identifiers 4

IdentifierTypeStateIssuer
714092OtherMATUFTS
Y68533OtherBCBS INDIVIDUAL
0723126MedicaidMA
134423OtherMAFALLON

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

LicenseStateTypeSpecialty
16787MAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293667200000",
    "number": "1467563171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CAMBRIDGE ST",
            "address_2": "C/O ORTHOPAEDICS PLUS",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018033766",
            "telephone_number": "781-229-8011",
            "fax_number": "781-229-8374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CAMBRIDGE ST",
            "address_2": "C/O ORTHOPAEDICS PLUS",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018033766",
            "telephone_number": "781-229-8011",
            "fax_number": "781-229-8374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMELIN",
        "first_name": "CHERIE",
        "middle_name": "GRINESTAFF",
        "name_prefix": "Ms.",
        "credential": "MSPT DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "16787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "714092",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL",
            "identifier": "Y68533",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0723126",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON",
            "identifier": "134423",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.