Active NPI
Patrick Carley, PT
- Ergonomics Physical Therapist
- Westfield, MA
National Provider Identifier
1790190106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ergonomics Physical Therapist
- License
- 3518
- Practice address
- 207 Munger Hill Rd
Westfield, MA 01085-4591 - Phone
- (413) 205-3294
- Fax
- (413) 568-8728
- NPI assigned
- Jun 24, 2014
- Last updated
- Jun 24, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Ergonomics Physical Therapist | 2251E1200X | 3518 | MA | Primary |
Addresses
Primary practice location
207 Munger Hill Rd
Westfield, MA 01085-4591
Mailing address
207 Munger Hill Rd
Westfield, MA 01085-4591
Phone (413) 205-3294
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02061956 | Medicaid | MA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3518 | MA | MD | Ergonomics Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403568000000",
"number": "1790190106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 MUNGER HILL RD",
"city": "WESTFIELD",
"state": "MA",
"postal_code": "010854591",
"telephone_number": "413-205-3294",
"fax_number": "413-568-8728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 MUNGER HILL RD",
"city": "WESTFIELD",
"state": "MA",
"postal_code": "010854591",
"telephone_number": "413-205-3294",
"fax_number": "413-568-8728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLEY",
"first_name": "PATRICK",
"name_prefix": "Prof.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-24",
"last_updated": "2014-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "2251E1200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Ergonomics",
"state": "MA",
"license": "3518",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02061956",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Westfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.