Active NPI
Michele Parker, PT
- Physical Therapist
- Brockton, MA
National Provider Identifier
1700295367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8265
- Practice address
- 50 Christy PL
Brockton, MA 02301-1826 - Phone
- (508) 580-6800
- NPI assigned
- Aug 7, 2014
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 8265 | MA | Primary |
Addresses
Primary practice location
50 Christy PL
Brockton, MA 02301-1826
Mailing address
303 N Hurstbourne Pkwy
Louisville, KY 40222-5185
Phone (502) 412-5847
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 |
|---|---|---|---|
| 8265 | MA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407369600000",
"number": "1700295367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 N HURSTBOURNE PKWY",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402225185",
"telephone_number": "502-412-5847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 CHRISTY PL",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023011826",
"telephone_number": "508-580-6800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "MICHELE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-07",
"last_updated": "2014-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "8265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.