Active NPI
Danielle Quatie Ivens, MSPT
- Physical Therapist
- Attleboro, MA
National Provider Identifier
1649245424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 15955
- Practice address
- 150 Emory St
Attleboro, MA 02703-2439 - Phone
- (508) 222-5800
- Fax
- (508) 222-6170
- NPI assigned
- Feb 23, 2006
- 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 | 15955 | MA | Primary |
Addresses
Primary practice location
150 Emory St
Attleboro, MA 02703-2439
Mailing address
17 Miranda Way
Bridgewater, MA 02324-1481
Phone (508) 697-3520
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 |
|---|---|---|---|
| 15955 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237766400000",
"number": "1649245424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 MIRANDA WAY",
"city": "BRIDGEWATER",
"state": "MA",
"postal_code": "023241481",
"telephone_number": "508-697-3520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 EMORY ST",
"city": "ATTLEBORO",
"state": "MA",
"postal_code": "027032439",
"telephone_number": "508-222-5800",
"fax_number": "508-222-6170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IVENS",
"first_name": "DANIELLE",
"middle_name": "QUATIE",
"name_prefix": "Mrs.",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-23",
"last_updated": "2009-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "15955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Attleboro, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.