Diandra Michelle McCarthy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

19125 Issued in MA

Practice address

1 Orthopedics Dr
Peabody, MA 01960-1668

Phone

(978) 854-4838

Fax

(978) 854-4839

NPI assigned

Jul 19, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Diandra Michelle Longhurst Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1279497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386806400000",
    "number": "1578876629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 866308",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750866308",
            "telephone_number": "800-793-5464",
            "fax_number": "267-321-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ORTHOPEDICS DR",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019601668",
            "telephone_number": "978-854-4838",
            "fax_number": "978-854-4839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTHY",
        "first_name": "DIANDRA",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-19",
        "last_updated": "2013-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "19125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANDRA",
            "last_name": "LONGHURST",
            "middle_name": "MICHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Erin Mazzarino
• Cynthia L Mazzoni, M.D.
• MC Healthcare & Training Center LLC
• Kayla Rose McCarrier, RBT
• Allison McCarthy
• Katherine E. McCarthy, PT
• David McConnell, DMD
• Kaitlyn McCormack
• Michael Joseph McCormick, PTA
• Julie Ann McCullough, MD

• Physical Therapist in Peabody, MA
• Providers in Peabody, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; 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.