Active NPI
Tamara Maria Merolli, PT
- Physical Therapist
- Marlborough, MA
National Provider Identifier
1689918658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 040.0077014
- Practice address
- 221 Boston Post Rd E
Suite 221
Marlborough, MA 01752-3527 - Phone
- (508) 481-5519
- Fax
- (508) 481-6106
- NPI assigned
- Nov 15, 2012
- 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 | 040.0077014 | VT | Primary |
Addresses
Primary practice location
221 Boston Post Rd E
Suite 221
Marlborough, MA 01752-3527
Mailing address
221 Boston Post Rd E
Suite 221
Marlborough, MA 01752-3527
Phone (508) 481-5519
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 040.0077014 | Other | VT | PHYSICAL THERAPY LISCENSE |
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 |
|---|---|---|---|
| 040.0077014 | VT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352937600000",
"number": "1689918658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 BOSTON POST RD E",
"address_2": "SUITE 221",
"city": "MARLBOROUGH",
"state": "MA",
"postal_code": "017523527",
"telephone_number": "508-481-5519",
"fax_number": "508-481-6106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 BOSTON POST RD E",
"address_2": "SUITE 221",
"city": "MARLBOROUGH",
"state": "MA",
"postal_code": "017523527",
"telephone_number": "508-481-5519",
"fax_number": "508-481-6106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEROLLI",
"first_name": "TAMARA",
"middle_name": "MARIA",
"name_prefix": "Miss",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-11-15",
"last_updated": "2012-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VT",
"license": "040.0077014",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY LISCENSE",
"identifier": "040.0077014",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Marlborough, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.