Active NPI
Michelle Cullinane, PT
- Orthopedic Physical Therapist
- Peabody, MA
National Provider Identifier
1831182716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 11417
- Practice address
- 100 Corporate PL
Suite 103
Peabody, MA 01960-3865 - Phone
- (978) 535-1213
- Fax
- (978) 535-5510
- NPI assigned
- Aug 25, 2005
- Last updated
- Jul 13, 2026
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 11417 | MA | Primary |
Addresses
Primary practice location
100 Corporate PL
Suite 103
Peabody, MA 01960-3865
Mailing address
100 Corporate PL
Suite 103
Peabody, MA 01960-3865
Phone (978) 535-1213
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0704849 | Medicaid | MA | |
| 2975746 | Other | MA | AETNA |
| 626323 | Other | MA | HARVARD PILGRIM |
| Y68394 | Other | MA | BLUE CROSS BLUE SHIELD |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thomas R Cookson Inc | Orthopedic | 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.
-
dba Cookson Physical Therapy
- Orthopedic Physical Therapist
- Peabody, MA
- NPI 1861599136
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1831182716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 CORPORATE PL",
"address_2": "SUITE 103",
"city": "PEABODY",
"state": "MA",
"postal_code": "019603865",
"telephone_number": "978-535-1213",
"fax_number": "978-535-5510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CORPORATE PL",
"address_2": "SUITE 103",
"city": "PEABODY",
"state": "MA",
"postal_code": "019603865",
"telephone_number": "978-535-1213",
"fax_number": "978-535-5510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CULLINANE",
"first_name": "MICHELLE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-25",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "MA",
"license": "11417",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0704849",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2975746",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "626323",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "Y68394",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Peabody, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.