Active NPI
Maryellen Ernst, PT, CP
- Sports Physical Therapist
- Swampscott, MA
National Provider Identifier
1720202088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physical Therapist
- License
- 8216
- Practice address
- 28 Norfolk Ave
Swampscott, MA 01907-1805 - Phone
- (781) 598-6511
- NPI assigned
- Apr 11, 2007
- Last updated
- Jul 8, 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 |
|---|---|---|---|---|
| Sports Physical Therapist | 2251S0007X | 8216 | MA | Primary |
Addresses
Primary practice location
28 Norfolk Ave
Swampscott, MA 01907-1805
Mailing address
100B Rocking Horse Road
Southshore
Christchurch, NEW ZEALAND 8062
NZ
Phone (643) 382-5556
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720202088",
"addresses": [
{
"country_code": "NZ",
"country_name": "New Zealand",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "100B ROCKING HORSE ROAD",
"address_2": "SOUTHSHORE",
"city": "CHRISTCHURCH",
"state": "NEW ZEALAND",
"postal_code": "8062",
"telephone_number": "643-382-5556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 NORFOLK AVE",
"city": "SWAMPSCOTT",
"state": "MA",
"postal_code": "019071805",
"telephone_number": "781-598-6511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERNST",
"first_name": "MARYELLEN",
"name_prefix": "Miss",
"credential": "PT, CP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "MA",
"license": "8216",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Swampscott, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.