Active NPI
Priscilla T Wilcox, MS CCC/SLP
- Speech-Language Pathologist
- Concord, MA
National Provider Identifier
1497936090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4988
- Practice address
- 1269 Main St
Concord, MA 01742-3099 - Phone
- (978) 287-7800
- NPI assigned
- Nov 25, 2007
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 4988 | MA | Primary |
Addresses
Primary practice location
1269 Main St
Concord, MA 01742-3099
Mailing address
23 Cordis St
Charlestown, MA 02129-3319
Phone (617) 337-5010
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4988 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195948800000",
"number": "1497936090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 CORDIS ST",
"city": "CHARLESTOWN",
"state": "MA",
"postal_code": "021293319",
"telephone_number": "617-337-5010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1269 MAIN ST",
"city": "CONCORD",
"state": "MA",
"postal_code": "017423099",
"telephone_number": "978-287-7800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILCOX",
"first_name": "PRISCILLA",
"middle_name": "T",
"name_prefix": "Ms.",
"credential": "MS CCC/SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-25",
"last_updated": "2007-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MA",
"license": "4988",
"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 Nov 25, 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.