Judy Ellen Antonelli, P.T
Individual provider Active NPI Orthopedic Physical Therapist · Burlington, MA
NPI 1790775534 · NPPES record last updated Jan 4, 2011
Key facts
- NPI
- 1790775534
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopedic Physical Therapist 2251X0800X
- License
- 5325 (MA)
- Practice address
- 101 Cambridge St
Burlington, MA 01803-3766 - Phone
- (781) 229-8011
- NPI assigned
- Oct 24, 2005
- Sex
- Female
- Sole proprietor
- No
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.8 of 100
- Quality
- 95.5
- Improvement activities
- 40
- Cost
- 75.35
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060417000445 | MA | Practitioner - Physical Therapist in Private Practice | 8022027200 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5325 | MA | MD | Optometrist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 5325 | MA | Yes |
Addresses
Primary practice location
101 Cambridge St
Burlington, MA 01803-3766
Mailing address
4 Lamplighter LN
Salem, NH 03079-4027
Phone (603) 893-6872
Other providers in Burlington, MA
- Michael N Andrawes
- Cory Andrus
- Kristina Angell
- Anne Mittnacht Nutrition Counseling LLC
- Esfandiar Ansari
- Ishan Antony
- Nikola Anusic
- Diana Apetauerova
- Patrick Ross Aquino
- Hossein Aram
All providers in Burlington, MA · Orthopedic Physical Therapist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.