Individual provider Active NPI

Therese M. Dupree, P.T.A.

  • Physical Therapy Assistant
  • Centerville, MA
National Provider Identifier
1497735021
Registry record updated Apr 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
8215 Issued in MA
Practice address
1663 Falmouth Road
Centerville, MA 02632-2944
Phone
(508) 775-9200
Fax
(508) 815-4919
NPI assigned
Jan 19, 2006
Last updated
Apr 27, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 8215 MA Primary

Addresses

Primary practice location

1663 Falmouth Road
Centerville, MA 02632-2944

Mailing address

1663 Falmouth Road
Centerville, MA 02632-2944
Phone (508) 775-9200

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

LicenseStateTypeSpecialty
8215MAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Solutions LLC PastSince Oct 1, 2009 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272326400000",
    "number": "1497735021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1663 FALMOUTH ROAD",
            "city": "CENTERVILLE",
            "state": "MA",
            "postal_code": "026322944",
            "telephone_number": "508-775-9200",
            "fax_number": "508-815-4919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1663 FALMOUTH ROAD",
            "city": "CENTERVILLE",
            "state": "MA",
            "postal_code": "026322944",
            "telephone_number": "508-775-9200",
            "fax_number": "508-815-4919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUPREE",
        "first_name": "THERESE",
        "middle_name": "M.",
        "credential": "P.T.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-19",
        "last_updated": "2010-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MA",
            "license": "8215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2010; 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.