Active NPI
Maureen E Burrell, PTA
- Physical Therapy Assistant
- Chelsea, MA
National Provider Identifier
1831449719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 8419
- Practice address
- 255 Central Ave
Chelsea, MA 02150-3508 - Phone
- (617) 660-2615
- NPI assigned
- Sep 18, 2012
- 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 Therapy Assistant | 225200000X | 8419 | MA | Primary |
Addresses
Primary practice location
255 Central Ave
Chelsea, MA 02150-3508
Mailing address
83 Lockwood Rd
Lynn, MA 01904-2001
Phone (978) 532-3737
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194703520 | Medicaid | MA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8419 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347926400000",
"number": "1831449719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "83 LOCKWOOD RD",
"city": "LYNN",
"state": "MA",
"postal_code": "019042001",
"telephone_number": "978-532-3737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 CENTRAL AVE",
"city": "CHELSEA",
"state": "MA",
"postal_code": "021503508",
"telephone_number": "617-660-2615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURRELL",
"first_name": "MAUREEN",
"middle_name": "E",
"name_prefix": "Miss",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-18",
"last_updated": "2012-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MA",
"license": "8419",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1194703520",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chelsea, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.