Active NPI
Daniel C Brownridge, MSPT
- Physical Therapist
- Boston, MA
National Provider Identifier
1659379022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 15747
- Practice address
- 654 Beacon St
2ND Floor
Boston, MA 02215-2099 - Phone
- (617) 536-1161
- NPI assigned
- Jul 11, 2005
- Sex
- Male
- 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 | 15747 | MA | Primary |
Addresses
Primary practice location
654 Beacon St
2ND Floor
Boston, MA 02215-2099
Mailing address
10 Liberty SQ
BSMT 1
Boston, MA 02109-5814
Phone (617) 536-1161
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AA 27096 | Other | MA | HARVARD PILGRIM PROV # |
| Y67972 | Other | MA | BC/BS PROV # |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578614400000",
"number": "1659379022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 LIBERTY SQ",
"address_2": "BSMT 1",
"city": "BOSTON",
"state": "MA",
"postal_code": "021095814",
"telephone_number": "617-536-1161",
"fax_number": "857-239-9711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "654 BEACON ST",
"address_2": "2ND FLOOR",
"city": "BOSTON",
"state": "MA",
"postal_code": "022152099",
"telephone_number": "617-536-1161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWNRIDGE",
"first_name": "DANIEL",
"middle_name": "C",
"name_prefix": "Mr.",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-11",
"last_updated": "2020-01-10",
"certification_date": "2020-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "15747",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM PROV #",
"identifier": "AA 27096",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS PROV #",
"identifier": "Y67972",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}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 Jan 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.