Active NPI
Mary Ann Wilmarth, PT, DPT
- Orthopedic Physical Therapist
- Andover, MA
National Provider Identifier
1659379659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 5327
- Practice address
- 10 Nollet Dr
Andover, MA 01810-6312 - Phone
- (978) 682-8802
- Fax
- (978) 682-8813
- NPI assigned
- Jul 13, 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 5327 | MA | Primary |
Addresses
Primary practice location
10 Nollet Dr
Andover, MA 01810-6312
Mailing address
10 Nollet Dr
Andover, MA 01810-6312
Phone (978) 682-8802
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 |
|---|---|---|---|
| 5327 | MA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282003200000",
"number": "1659379659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 NOLLET DR",
"city": "ANDOVER",
"state": "MA",
"postal_code": "018106312",
"telephone_number": "978-682-8802",
"fax_number": "978-682-8813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 NOLLET DR",
"city": "ANDOVER",
"state": "MA",
"postal_code": "018106312",
"telephone_number": "978-682-8802",
"fax_number": "978-682-8813"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILMARTH",
"first_name": "MARY",
"middle_name": "ANN",
"name_prefix": "Prof.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-13",
"last_updated": "2010-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "MA",
"license": "5327",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Andover, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.