Individual provider Active NPI

Evelyn Flamenco, P.T.A.

  • Physical Therapy Assistant
  • Burlington, MA
National Provider Identifier
1780893479
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
7828 Issued in MA
Practice address
3 Burlington Woods
Suite 304
Burlington, MA 01803-4514
Phone
(781) 270-0222
NPI assigned
May 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 7828 MA Primary

Addresses

Primary practice location

3 Burlington Woods
Suite 304
Burlington, MA 01803-4514

Mailing address

15 Wayside Dr
Danvers, MA 01923-3454
Phone (978) 762-3513

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
7828MAMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780893479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 WAYSIDE DR",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019233454",
            "telephone_number": "978-762-3513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 BURLINGTON WOODS",
            "address_2": "SUITE 304",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018034514",
            "telephone_number": "781-270-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLAMENCO",
        "first_name": "EVELYN",
        "credential": "P.T.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MA",
            "license": "7828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, 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.

Verify at the official NPI Registry.