Individual provider Active NPI

Christine Lemieux

  • Physical Therapist
  • Concord, MA
National Provider Identifier
1487048161
Registry record updated Mar 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
21106 Issued in MA
Practice address
9 Pond LN
Concord, MA 01742-2858
Phone
(978) 369-9996
NPI assigned
Mar 20, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2017

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 21106 MA Primary

Addresses

Primary practice location

9 Pond LN
Concord, MA 01742-2858

Mailing address

27 Forest St
Wilmington, MA 01887-2857
Phone (978) 447-5080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170323002340 MA Practitioner - Physical Therapist in Private Practice 9032494505 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
McGill University Faculty of Dentistry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Leonardo Physical TherapyGroup PAC ID 7012056286, 5 clinicians

Practice addresses (Care Compare)

230 Lowell St
Suite 2D
Wilmington, MA 01887-3088
Phone (978) 657-7404

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21106MAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Leonardo Physical Therapy Physical Therapist CurrentSince Mar 1, 2017 Accepting new patients

Locations

230 Lowell St
Ste 2D
Wilmington, MA 01887
Phone (978) 657-7404

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": "1426809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490140800000",
    "number": "1487048161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 FOREST ST",
            "city": "WILMINGTON",
            "state": "MA",
            "postal_code": "018872857",
            "telephone_number": "978-447-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 POND LN",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422858",
            "telephone_number": "978-369-9996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMIEUX",
        "first_name": "CHRISTINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-20",
        "last_updated": "2017-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "21106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.