Active NPI
Elizabeth Anne Harrahy
- Physical Therapist
- Boston, MA
National Provider Identifier
1649485129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 17117
- Practice address
- 736 Cambridge St
Boston, MA 02135-2907 - Phone
- (617) 789-2655
- NPI assigned
- May 10, 2007
- 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 | 17117 | MA | Primary |
Addresses
Primary practice location
736 Cambridge St
Boston, MA 02135-2907
Mailing address
9 Larose PL
Brighton, MA 02135-3401
Phone (508) 212-6881
Other names 1
- Miss Elizabeth Anne Cobb
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 |
|---|---|---|---|
| 17117 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237852800000",
"number": "1649485129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 LAROSE PL",
"city": "BRIGHTON",
"state": "MA",
"postal_code": "021353401",
"telephone_number": "508-212-6881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "736 CAMBRIDGE ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021352907",
"telephone_number": "617-789-2655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRAHY",
"first_name": "ELIZABETH",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-10",
"last_updated": "2009-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "17117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "COBB",
"middle_name": "ANNE",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.