Active NPI
Timothy Joseph McNamara
- Physical Therapist
- Framingham, MA
National Provider Identifier
1831608371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 23186
- Practice address
- 1661 Worcester Rd Ste 105
Framingham, MA 01701-5405 - Phone
- (508) 626-2600
- Fax
- (508) 626-7667
- NPI assigned
- Sep 27, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 8779 | SC | |
| Physical Therapist | 225100000X | 23186 | MA | Primary |
Addresses
Primary practice location
1661 Worcester Rd Ste 105
Framingham, MA 01701-5405
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Other practice location 1
119 Office Park Dr
Orangeburg, SC 29118-2407
Phone (803) 536-5509
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 |
|---|---|---|---|
| 8779 | SC | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carl Gustafson LLC | 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
- Wellesley, MA
- NPI 1356366082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549929600000",
"number": "1831608371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1661 WORCESTER RD STE 105",
"city": "FRAMINGHAM",
"state": "MA",
"postal_code": "017015405",
"telephone_number": "508-626-2600",
"fax_number": "508-626-7667"
}
],
"practiceLocations": [
{
"address_1": "119 Office Park Dr",
"address_purpose": "LOCATION",
"city": "Orangeburg",
"state": "SC",
"postal_code": "291182407",
"country_code": "US",
"telephone_number": "803-536-5509",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCNAMARA",
"first_name": "TIMOTHY",
"middle_name": "JOSEPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-27",
"last_updated": "2019-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "8779",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "23186",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Framingham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.