Active NPI
Jane M Bieber, P.T.
- Orthopedic Physical Therapist
- Roslindale, MA
National Provider Identifier
1538237490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 6204
- Practice address
- 110 Newburg St
Roslindale, MA 02131-3319 - Phone
- (617) 325-1208
- NPI assigned
- Nov 30, 2006
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 6204 | MA | Primary |
Addresses
Primary practice location
110 Newburg St
Roslindale, MA 02131-3319
Mailing address
110 Newburg St
Roslindale, MA 02131-3319
Phone (617) 325-1208
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y66593 | Other | MA | BCBS MA PROVIDER ID |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6204 | MA | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1538237490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 NEWBURG ST",
"city": "ROSLINDALE",
"state": "MA",
"postal_code": "021313319",
"telephone_number": "617-325-1208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 NEWBURG ST",
"city": "ROSLINDALE",
"state": "MA",
"postal_code": "021313319",
"telephone_number": "617-325-1208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIEBER",
"first_name": "JANE",
"middle_name": "M",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "MA",
"license": "6204",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MA PROVIDER ID",
"identifier": "Y66593",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Roslindale, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.