Individual provider Active NPI

Joanne L Rivard, PT, MSPT, DPT

  • Physical Therapist
  • Auburn, MA
National Provider Identifier
1578871570
Registry record updated Sep 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4388 Issued in MA
Practice address
319A Southbridge Street
Auburn, MA 01501-2568
Phone
(508) 854-4140
Fax
(508) 854-4143
NPI assigned
Sep 24, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4388 MA Primary

Addresses

Primary practice location

319A Southbridge Street
Auburn, MA 01501-2568

Mailing address

102 Shore Drive
Suite 102
Worcester, MA 01605-3154
Phone (508) 854-4140

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

LicenseStateTypeSpecialty
4388MAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1285286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285286400000",
    "number": "1578871570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 SHORE DRIVE",
            "address_2": "SUITE 102",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016053154",
            "telephone_number": "508-854-4140",
            "fax_number": "508-854-4143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319A SOUTHBRIDGE STREET",
            "city": "AUBURN",
            "state": "MA",
            "postal_code": "015012568",
            "telephone_number": "508-854-4140",
            "fax_number": "508-854-4143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVARD",
        "first_name": "JOANNE",
        "middle_name": "L",
        "credential": "PT, MSPT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-24",
        "last_updated": "2010-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "4388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.