Active NPI
Mary Claffie Secor, PT
- Physical Therapist
- Harwich, MA
National Provider Identifier
1588865893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8063
- Practice address
- 525 Long Pond Drive
Suite 20 Cape Cod Hospital Rehab Center at Fontaine Med
Harwich, MA 02645 - Phone
- (508) 247-9750
- Fax
- (508) 247-9778
- NPI assigned
- May 31, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 | 8063 | MA | Primary |
Addresses
Primary practice location
525 Long Pond Drive
Suite 20 Cape Cod Hospital Rehab Center at Fontaine Med
Harwich, MA 02645
Mailing address
45 Cranberry Lane
Brewster, MA 02631
Phone (508) 255-5925
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 |
|---|---|---|---|
| 8063 | MA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1588865893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 CRANBERRY LANE",
"city": "BREWSTER",
"state": "MA",
"postal_code": "02631",
"telephone_number": "508-255-5925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 LONG POND DRIVE",
"address_2": "SUITE 20 CAPE COD HOSPITAL REHAB CENTER AT FONTAINE MED",
"city": "HARWICH",
"state": "MA",
"postal_code": "02645",
"telephone_number": "508-247-9750",
"fax_number": "508-247-9778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SECOR",
"first_name": "MARY",
"middle_name": "CLAFFIE",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "8063",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harwich, 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.