Individual provider Active NPI

Barbara Elizabeth Turner Delisle, P.T.

  • Physical Therapist
  • Wilbraham, MA
National Provider Identifier
1477668077
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2261 Issued in MA
Practice address
500 Main St
Wilbraham, MA 01095-1658
Phone
(413) 596-8678
Fax
(413) 596-8678
NPI assigned
Aug 21, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 2261 MA Primary

Addresses

Primary practice location

500 Main St
Wilbraham, MA 01095-1658

Mailing address

2205 Boston Rd
M120
Wilbraham, MA 01095-1164
Phone (413) 596-8678

Other identifiers 1

IdentifierTypeStateIssuer
2261OtherMALICENSE

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
2261MAMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477668077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 BOSTON RD",
            "address_2": "M120",
            "city": "WILBRAHAM",
            "state": "MA",
            "postal_code": "010951164",
            "telephone_number": "413-596-8678",
            "fax_number": "413-596-8678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MAIN ST",
            "city": "WILBRAHAM",
            "state": "MA",
            "postal_code": "010951658",
            "telephone_number": "413-596-8678",
            "fax_number": "413-596-8678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURNER DELISLE",
        "first_name": "BARBARA",
        "middle_name": "ELIZABETH",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "2261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "2261",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilbraham, 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.

Verify at the official NPI Registry.