Individual provider Active NPI

Paula McQuaid, P.T., M.T., C.S.T.

  • Physical Therapist
  • Nantucket, MA
National Provider Identifier
1760627673
Registry record updated Dec 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11039 Issued in MA
Practice address
37 Old South Rd
Building C #9
Nantucket, MA 02554-7003
Phone
(508) 228-7577
Fax
(508) 228-7571
NPI assigned
Dec 5, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11039 MA Primary
Massage Therapist 225700000X

Addresses

Primary practice location

37 Old South Rd
Building C #9
Nantucket, MA 02554-7003

Mailing address

2 Greglen Ave
Box #108
Nantucket, MA 02554-2830
Phone (508) 228-7577

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
Credentials
Medical Technician

State licenses

LicenseStateTypeSpecialty
11039MAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1228435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228435200000",
    "number": "1760627673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 GREGLEN AVE",
            "address_2": "BOX #108",
            "city": "NANTUCKET",
            "state": "MA",
            "postal_code": "025542830",
            "telephone_number": "508-228-7577",
            "fax_number": "508-228-7571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 OLD SOUTH RD",
            "address_2": "BUILDING C #9",
            "city": "NANTUCKET",
            "state": "MA",
            "postal_code": "025547003",
            "telephone_number": "508-228-7577",
            "fax_number": "508-228-7571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCQUAID",
        "first_name": "PAULA",
        "credential": "P.T., M.T., C.S.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-05",
        "last_updated": "2008-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "11039",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nantucket, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2008; 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.