Active NPI
Nicole Beaulieu
- Physical Therapy Assistant
- New Bedford, MA
National Provider Identifier
1487803540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2786
- Practice address
- 211 Hathaway St
Apt 3
New Bedford, MA 02746-1819 - Phone
- (508) 999-5667
- NPI assigned
- Sep 15, 2008
- 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 Therapy Assistant | 225200000X | 2786 | MA | Primary |
Addresses
Primary practice location
211 Hathaway St
Apt 3
New Bedford, MA 02746-1819
Mailing address
211 Hathaway St
Apt 3
New Bedford, MA 02746-1819
Phone (508) 999-5667
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2786 | MA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221436800000",
"number": "1487803540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 HATHAWAY ST",
"address_2": "APT 3",
"city": "NEW BEDFORD",
"state": "MA",
"postal_code": "027461819",
"telephone_number": "508-999-5667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 HATHAWAY ST",
"address_2": "APT 3",
"city": "NEW BEDFORD",
"state": "MA",
"postal_code": "027461819",
"telephone_number": "508-999-5667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAULIEU",
"first_name": "NICOLE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-15",
"last_updated": "2008-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MA",
"license": "2786",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Bedford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.