NPIMap

Individual provider Active NPI

Maribeth Crupi, PT

  • Physical Therapist
  • Wilmington, MA
National Provider Identifier
1467632703
Registry record updated Nov 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5468 Issued in MA
Practice address
10 Elizabeth Dr
Wilmington, MA 01887-3397
Phone
(978) 658-6059
Fax
(978) 694-9273
NPI assigned
Nov 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2007

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 5468 MA Primary
Geriatric Physical Therapist 2251G0304X 5468 MA
Orthopedic Physical Therapist 2251X0800X 5468 MA

Addresses

Primary practice location

10 Elizabeth Dr
Wilmington, MA 01887-3397

Mailing address

10 Elizabeth Dr
Wilmington, MA 01887-3397
Phone (978) 658-6059

Other names 1

  • Maribeth Crupi Professional name

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
5468MAMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Sports Medicine Inc Physical Therapist CurrentSince Oct 1, 2014 Accepting new patients

Locations

314 Main St
Ste 101
Wilmington, MA 01887
Phone (978) 447-5793

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11813/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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": "1194134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194134400000",
    "number": "1467632703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 ELIZABETH DR",
            "city": "WILMINGTON",
            "state": "MA",
            "postal_code": "018873397",
            "telephone_number": "978-658-6059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ELIZABETH DR",
            "city": "WILMINGTON",
            "state": "MA",
            "postal_code": "018873397",
            "telephone_number": "978-658-6059",
            "fax_number": "978-694-9273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUPI",
        "first_name": "MARIBETH",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-04",
        "last_updated": "2007-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "5468",
            "primary": true
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "MA",
            "license": "5468",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MA",
            "license": "5468",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIBETH",
            "last_name": "CRUPI",
            "credential": "PT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Wilmington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.

Verify at the official NPI Registry.