NPIMap

Organization Active NPI

Maribeth Crupi Physical Therpay LLC

  • Physical Therapy Clinic/Center
  • Wilmington, MA
National Provider Identifier
1831430842
Registry record updated Jan 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
5468 Issued in MA
Legal business name
MARIBETH CRUPI PHYSICAL THERPAY LLC
Practice address
10 Elizabeth Drive
Wilmington, MA 01887
Phone
(978) 203-0665
Fax
(978) 203-0667
NPI assigned
Mar 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Maribeth Crupi, PT
Title
Practice Owner
Phone
(978) 203-0665

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 5468 MA Primary

Addresses

Primary practice location

10 Elizabeth Drive
Wilmington, MA 01887

Mailing address

10 Elizabeth Drive
Wilmington, MA 01887
Phone (978) 203-0665

Other identifiers 3

IdentifierTypeStateIssuer
AA282661OtherMAHARVARD PILGRIM HEALTHCARE
0018989OtherMAMEDICARE PTAN
70010000Y66159OtherMABLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

314 Main St
Ste 101
Wilmington, MA 01887
Phone (978) 447-5793

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1363305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390262400000",
    "number": "1831430842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 ELIZABETH DRIVE",
            "city": "WILMINGTON",
            "state": "MA",
            "postal_code": "01887",
            "telephone_number": "978-203-0665",
            "fax_number": "978-203-0667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ELIZABETH DRIVE",
            "city": "WILMINGTON",
            "state": "MA",
            "postal_code": "01887",
            "telephone_number": "978-203-0665",
            "fax_number": "978-203-0667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIBETH CRUPI PHYSICAL THERPAY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-15",
        "last_updated": "2014-01-21",
        "status": "A",
        "authorized_official_last_name": "CRUPI",
        "authorized_official_first_name": "MARIBETH",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "978-203-0665",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MA",
            "license": "5468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTHCARE",
            "identifier": "AA282661",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "0018989",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "70010000Y66159",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.