Active NPI
Paul E McCloskey, PT
- Physical Therapist
- Springfield, MA
National Provider Identifier
1548404635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 18546
- Practice address
- 942 Grayson Dr
Springfield, MA 01119-1547 - Phone
- (413) 783-3964
- Fax
- (413) 783-2190
- NPI assigned
- Apr 21, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 18546 | MA | Primary |
Addresses
Primary practice location
942 Grayson Dr
Springfield, MA 01119-1547
Mailing address
942 Grayson Dr
Springfield, MA 01119-1547
Phone (413) 783-3964
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 |
|---|---|---|---|
| 18546 | MA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240272000000",
"number": "1548404635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "942 GRAYSON DR",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011191547",
"telephone_number": "413-783-3964",
"fax_number": "413-783-2190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "942 GRAYSON DR",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011191547",
"telephone_number": "413-783-3964",
"fax_number": "413-783-2190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLOSKEY",
"first_name": "PAUL",
"middle_name": "E",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-04-21",
"last_updated": "2009-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "18546",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.