Active NPI
Terry Marie McCann, PT
- Physical Therapist
- Kingston, MA
National Provider Identifier
1811227366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11549
- Practice address
- 17 Chipman Way
Kingston, MA 02364 - Phone
- (781) 336-5107
- Fax
- (978) 388-8255
- NPI assigned
- Jan 6, 2010
- 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 | 11549 | MA | Primary |
Addresses
Primary practice location
17 Chipman Way
Kingston, MA 02364
Mailing address
17 Chipman Way
Kingston, MA 02364
Phone (781) 336-5107
Other names 1
- Terry Marie Heffernan
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11549 | MA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excella Healthcare, Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Andover, MA
- NPI 1033177720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551312000000",
"number": "1811227366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 CHIPMAN WAY",
"city": "KINGSTON",
"state": "MA",
"postal_code": "02364",
"telephone_number": "781-336-5107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 CHIPMAN WAY",
"city": "KINGSTON",
"state": "MA",
"postal_code": "02364",
"telephone_number": "781-336-5107",
"fax_number": "978-388-8255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCANN",
"first_name": "TERRY",
"middle_name": "MARIE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-06",
"last_updated": "2019-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "11549",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TERRY",
"last_name": "HEFFERNAN",
"middle_name": "MARIE",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Kingston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.