Active NPI
Marjorie Leary, P.T.
- Physical Therapist
- Arlington, MA
National Provider Identifier
1518152016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 16267
- Practice address
- 23 Jason St
Arlington, MA 02476-6446 - Phone
- (781) 648-7009
- NPI assigned
- Sep 8, 2007
- 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 Therapist | 225100000X | 16267 | MA | Primary |
Addresses
Primary practice location
23 Jason St
Arlington, MA 02476-6446
Mailing address
307 Tappan St
Brookline, MA 02445-5382
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2002
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
227 E Springfield Rd
Sullivan, MO 63080-1384
23 Jason St
Arlington, MA 02476-6446
400 W Cummings Park
Suite 1800
Woburn, MA 01801-6505
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16267 | MA | MD | Physical Therapist |
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.
-
- Physical Therapist
- Woburn, MA
- NPI 1013866474
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189209600000",
"number": "1518152016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 TAPPAN ST",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024455382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 JASON ST",
"city": "ARLINGTON",
"state": "MA",
"postal_code": "024766446",
"telephone_number": "781-648-7009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEARY",
"first_name": "MARJORIE",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-08",
"last_updated": "2007-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "16267",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2007; 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.