Active NPI
Marilyn East, DPT
- Physical Therapist
- Mashpee, MA
National Provider Identifier
1811901101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3417
- Practice address
- 681 Falmouth Rd
Unit 24D
Mashpee, MA 02649-3327 - Phone
- (508) 477-5670
- Fax
- (508) 539-1790
- NPI assigned
- Jul 29, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3417 | MA | Primary |
Addresses
Primary practice location
681 Falmouth Rd
Unit 24D
Mashpee, MA 02649-3327
Mailing address
15 Frost LN
Hyannis, MA 02601-3638
Phone (508) 771-0604
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 |
|---|---|---|---|
| 3417 | MA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deer Crossing Physical Therapy, 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- S Yarmouth, MA
- NPI 1487604682
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811901101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 FROST LN",
"city": "HYANNIS",
"state": "MA",
"postal_code": "026013638",
"telephone_number": "508-771-0604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "681 FALMOUTH RD",
"address_2": "UNIT 24D",
"city": "MASHPEE",
"state": "MA",
"postal_code": "026493327",
"telephone_number": "508-477-5670",
"fax_number": "508-539-1790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EAST",
"first_name": "MARILYN",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "3417",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mashpee, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.