Individual provider Active NPI

Caroline Pisinski, PT, DPT, CSCS

  • Physical Therapist
  • Waltham, MA
National Provider Identifier
1730850769
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
25002 Issued in MA
Practice address
52 Second Ave Ste 360
Waltham, MA 02451-1137
Phone
(781) 487-3800
NPI assigned
Sep 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 25002 MA Primary

Addresses

Primary practice location

52 Second Ave Ste 360
Waltham, MA 02451-1137

Mailing address

15 Parkman St Ste 128
Boston, MA 02114-3117

Other practice location 1

15 Parkman St Ste 128
Boston, MA 02114-3117
Phone (617) 726-2961

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL http://hie.partners.org:9100/services/API_RhapsodyConnect.API_RhapsodyConnectHttpSoap12. Massachusetts General Hospital

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

LicenseStateTypeSpecialty
25002MAMDPhysical Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1730850769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 PARKMAN ST STE 128",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021143117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 SECOND AVE STE 360",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024511137",
            "telephone_number": "781-487-3800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Parkman St Ste 128",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021143117",
            "country_code": "US",
            "telephone_number": "617-726-2961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PISINSKI",
        "first_name": "CAROLINE",
        "credential": "PT, DPT, CSCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-21",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "25002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "http://hie.partners.org:9100/services/API_RhapsodyConnect.API_RhapsodyConnectHttpSoap12.",
            "affiliation": "Y",
            "affiliationName": "Massachusetts General Hospital",
            "address_1": "15 Parkman St Ste 128",
            "city": "Boston",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021143117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waltham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.