Active NPI
Mary Ann Theresa Racette, PT
- Physical Therapist
- North Adams, MA
National Provider Identifier
1467648196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11525
- Practice address
- 71 Hospital Ave
North Adams, MA 01247 - Phone
- (413) 664-5449
- NPI assigned
- Sep 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 11525 | MA | Primary |
Addresses
Primary practice location
71 Hospital Ave
North Adams, MA 01247
Mailing address
696 E Main Street Ext
North Adams, MA 01247-4418
Phone (413) 663-5749
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189987200000",
"number": "1467648196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "696 E MAIN STREET EXT",
"city": "NORTH ADAMS",
"state": "MA",
"postal_code": "012474418",
"telephone_number": "413-663-5749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "71 HOSPITAL AVE",
"city": "NORTH ADAMS",
"state": "MA",
"postal_code": "01247",
"telephone_number": "413-664-5449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RACETTE",
"first_name": "MARY ANN",
"middle_name": "THERESA",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-17",
"last_updated": "2007-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "11525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Adams, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.