Active NPI
Heather Fredette, DPT
- Physical Therapist
- Marlborough, MA
National Provider Identifier
1710389416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 20851
- Practice address
- 340 Maple St
#410
Marlborough, MA 01752-3200 - Phone
- (508) 624-0304
- Fax
- (508) 624-0391
- NPI assigned
- Sep 24, 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 | 20851 | MA | Primary |
Addresses
Primary practice location
340 Maple St
#410
Marlborough, MA 01752-3200
Mailing address
340 Maple St
#410
Marlborough, MA 01752-3200
Phone (508) 624-0304
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 |
|---|---|---|---|
| 20851 | MA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411516800000",
"number": "1710389416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 MAPLE ST",
"address_2": "#410",
"city": "MARLBOROUGH",
"state": "MA",
"postal_code": "017523200",
"telephone_number": "508-624-0304",
"fax_number": "508-624-0391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 MAPLE ST",
"address_2": "#410",
"city": "MARLBOROUGH",
"state": "MA",
"postal_code": "017523200",
"telephone_number": "508-624-0304",
"fax_number": "508-624-0391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREDETTE",
"first_name": "HEATHER",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-24",
"last_updated": "2014-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "20851",
"primary": true
}
],
"identifiers": [],
"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 Sep 24, 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.