Individual provider Active NPI

Connie J Callard, CCWFN, LMT, CPP

  • Mechanotherapist
  • Holliston, MA
National Provider Identifier
1790089092
Registry record updated Dec 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
License
2268 Issued in MA
Practice address
838 Washington St
Holliston, MA 01746-3600
Phone
(508) 429-3491
NPI assigned
Dec 29, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mechanotherapist 172M00000X 2268 MA Primary

Addresses

Primary practice location

838 Washington St
Holliston, MA 01746-3600

Mailing address

838 Washington St
Holliston, MA 01746-3600
Phone (508) 429-3491

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": "1293580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293580800000",
    "number": "1790089092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "838 WASHINGTON ST",
            "city": "HOLLISTON",
            "state": "MA",
            "postal_code": "017463600",
            "telephone_number": "508-429-3491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "838 WASHINGTON ST",
            "city": "HOLLISTON",
            "state": "MA",
            "postal_code": "017463600",
            "telephone_number": "508-429-3491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLARD",
        "first_name": "CONNIE",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "CCWFN, LMT, CPP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-29",
        "last_updated": "2010-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "MA",
            "license": "2268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holliston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2010; 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.