Active NPI
Denise Tetreault, MSPT
- Physical Therapist
- North Attleboro, MA
National Provider Identifier
1639419195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9214
- Practice address
- 300 Elmwood St
North Attleboro, MA 02760-1304 - Phone
- (508) 695-2280
- Fax
- (508) 695-2298
- NPI assigned
- Feb 21, 2013
- Last updated
- Nov 30, 2016
- 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 | 9214 | MA | Primary |
Addresses
Primary practice location
300 Elmwood St
North Attleboro, MA 02760-1304
Mailing address
1 Credit Union Way FL3
Randolph, MA 02368-4633
Phone (781) 961-3370
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9214 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480464000000",
"number": "1639419195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CREDIT UNION WAY FL3",
"city": "RANDOLPH",
"state": "MA",
"postal_code": "023684633",
"telephone_number": "781-961-3370",
"fax_number": "781-961-1291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 ELMWOOD ST",
"city": "NORTH ATTLEBORO",
"state": "MA",
"postal_code": "027601304",
"telephone_number": "508-695-2280",
"fax_number": "508-695-2298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TETREAULT",
"first_name": "DENISE",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-21",
"last_updated": "2016-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "9214",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Attleboro, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.