Active NPI
Alpana Ajit Pednekar, PT, MS
- Physical Therapist
- Medford, MA
National Provider Identifier
1801067426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 18148
- Practice address
- 200 Governors Ave
Medford, MA 02155-1644 - Phone
- (781) 391-5400
- NPI assigned
- Mar 23, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 18148 | MA | Primary |
Addresses
Primary practice location
200 Governors Ave
Medford, MA 02155-1644
Mailing address
36 Dartmouth St Apt 711
Malden, MA 02148-5169
Phone (857) 891-1032
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18148 | MA | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206230400000",
"number": "1801067426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 DARTMOUTH ST APT 711",
"city": "MALDEN",
"state": "MA",
"postal_code": "021485169",
"telephone_number": "857-891-1032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 GOVERNORS AVE",
"city": "MEDFORD",
"state": "MA",
"postal_code": "021551644",
"telephone_number": "781-391-5400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEDNEKAR",
"first_name": "ALPANA",
"middle_name": "AJIT",
"name_prefix": "Ms.",
"credential": "PT, MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-23",
"last_updated": "2008-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "18148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.