Active NPI
Dawn Marie Chivers, P.T.
- Physical Therapist
- Springfield, MA
National Provider Identifier
1629136114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 17769
- Practice address
- 3550 Main St
Suite 102
Springfield, MA 01107-1089 - Phone
- (413) 788-6195
- Fax
- (413) 788-0437
- NPI assigned
- Dec 5, 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 17769 | MA | Primary |
Addresses
Primary practice location
3550 Main St
Suite 102
Springfield, MA 01107-1089
Mailing address
45 Willow St
Apt. 215
Springfield, MA 01103-1910
Phone (413) 455-2362
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 |
|---|---|---|---|
| 17769 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629136114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 WILLOW ST",
"address_2": "APT. 215",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011031910",
"telephone_number": "413-455-2362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3550 MAIN ST",
"address_2": "SUITE 102",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011071089",
"telephone_number": "413-788-6195",
"fax_number": "413-788-0437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIVERS",
"first_name": "DAWN",
"middle_name": "MARIE",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "17769",
"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 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.