Active NPI
Tess Megan Prescott, D.P.T.
- Physical Therapist
- Peabody, MA
National Provider Identifier
1477960631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 21158
- Practice address
- 1 Roosevelt Ave
Suite 205
Peabody, MA 01960-2200 - Phone
- (978) 531-5008
- Fax
- (978) 531-5508
- NPI assigned
- Jul 18, 2014
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 21158 | MA | Primary |
Addresses
Primary practice location
1 Roosevelt Ave
Suite 205
Peabody, MA 01960-2200
Mailing address
1 Roosevelt Ave
Suite 205
Peabody, MA 01960-2200
Phone (978) 531-5008
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": "1405641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405641600000",
"number": "1477960631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 ROOSEVELT AVE",
"address_2": "SUITE 205",
"city": "PEABODY",
"state": "MA",
"postal_code": "019602200",
"telephone_number": "978-531-5008",
"fax_number": "978-531-5508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 ROOSEVELT AVE",
"address_2": "SUITE 205",
"city": "PEABODY",
"state": "MA",
"postal_code": "019602200",
"telephone_number": "978-531-5008",
"fax_number": "978-531-5508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRESCOTT",
"first_name": "TESS",
"middle_name": "MEGAN",
"credential": "D.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-18",
"last_updated": "2014-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "21158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peabody, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.