Active NPI
Patricia Marie Cordeiro, ATC
- Specialist
- Medford, MA
National Provider Identifier
1699813279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 543
- Practice address
- 161 College Ave
Tufts University
Medford, MA 02155-5528 - Phone
- (617) 627-5102
- Fax
- (617) 627-2185
- NPI assigned
- Feb 3, 2007
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 543 | MA | Primary |
Addresses
Primary practice location
161 College Ave
Tufts University
Medford, MA 02155-5528
Mailing address
7 Garfield Ave
Woburn, MA 01801-4302
Phone (781) 910-9466
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 |
|---|---|---|---|
| 543 | MA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic and Sports Physical Therapy, LLP | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Boston, MA
- NPI 1083839450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406678400000",
"number": "1699813279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 GARFIELD AVE",
"city": "WOBURN",
"state": "MA",
"postal_code": "018014302",
"telephone_number": "781-910-9466",
"fax_number": "617-627-2185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 COLLEGE AVE",
"address_2": "TUFTS UNIVERSITY",
"city": "MEDFORD",
"state": "MA",
"postal_code": "021555528",
"telephone_number": "617-627-5102",
"fax_number": "617-627-2185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORDEIRO",
"first_name": "PATRICIA",
"middle_name": "MARIE",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-03",
"last_updated": "2014-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MA",
"license": "543",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.