Active NPI
Deidre Chouinard, PT
- Physical Therapist
- Chestnut Hill, MA
National Provider Identifier
1659355840
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(3) exclusion effective Jul 20, 2015.
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 15109
- Practice address
- 291 Independence Dr
Chestnut Hill, MA 02467-3628 - Phone
- (617) 541-7542
- NPI assigned
- Dec 1, 2005
- 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 | 15109 | MA | Primary |
Addresses
Primary practice location
291 Independence Dr
Chestnut Hill, MA 02467-3628
Mailing address
291 Independence Dr
Chestnut Hill, MA 02467-3628
Phone (617) 541-7542
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254096000000",
"number": "1659355840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "291 INDEPENDENCE DR",
"city": "CHESTNUT HILL",
"state": "MA",
"postal_code": "024673628",
"telephone_number": "617-541-7542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "291 INDEPENDENCE DR",
"city": "CHESTNUT HILL",
"state": "MA",
"postal_code": "024673628",
"telephone_number": "617-541-7542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOUINARD",
"first_name": "DEIDRE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-01",
"last_updated": "2009-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "15109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chestnut Hill, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.