Blake E Donnaruma

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

25118 Issued in MA

Practice address

541 Main St Ste 203
Weymouth, MA 02190-1857

Phone

(781) 340-1480

Fax

(207) 340-1481

NPI assigned

Aug 11, 2020

Last updated

Aug 11, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pinnacle Rehabilitation Network, LLC

  dba Blue Hills Physical Therapy

  • Physical Therapist
  • Braintree, MA
  • NPI 1679582175
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1679184915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 NEWTON RD UNIT 101",
            "city": "PLAISTOW",
            "state": "NH",
            "postal_code": "038652440",
            "telephone_number": "978-388-7272",
            "fax_number": "978-388-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 MAIN ST STE 203",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021901857",
            "telephone_number": "781-340-1480",
            "fax_number": "207-340-1481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONNARUMA",
        "first_name": "BLAKE",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-11",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "25118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Elizabeth Doherty
• Brian T. Dolan, M.D.
• Linda Donahue
• Uyen VI Le Dong
• Michele Donlon, M.S., CCC-SLP
• Cailin Doody
• Sandra L Doogue
• Megan Doshi
• Charlene Dottin, LCSW
• Aisha Natalie Douglas

• Physical Therapist in Weymouth, MA
• Providers in Weymouth, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.

Verify at the official NPI Registry.