Active NPI
Joyanna J Santolucito, DPT
- Physical Therapist
- Auburn, MA
National Provider Identifier
1841570322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 19636
- Practice address
- 489 Washington St
Ste 200
Auburn, MA 01501-5709 - Phone
- (774) 696-8309
- Fax
- (508) 297-8416
- NPI assigned
- Aug 28, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physical Therapist | 2251S0007X | |||
| Orthopedic Physical Therapist | 2251X0800X | |||
| Physical Therapist | 225100000X | 19636 | MA | Primary |
Addresses
Primary practice location
489 Washington St
Ste 200
Auburn, MA 01501-5709
Mailing address
489 Washington St
Ste 200
Auburn, MA 01501-5709
Phone (774) 696-8309
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19636 | MA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connections Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
| Achieve Physical Therapy, PC | Physical Therapist | Past | Accepting new patients |
Locations
406R Washington St
Holliston, MA 01746
Phone (508) 429-4940
166 Hamilton St
Leominster, MA 01453
Phone (978) 537-1157
215 Hamilton St
Leominster, MA 01453
Phone (978) 537-2100
110 Cedar St
Ste 100
Wellesley Hills, MA 02481
Phone (617) 921-4336
Organizations & group practices 2
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 1699752931
-
- Physical Therapist
- Syracuse, NY
- NPI 1790778983
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620777600000",
"number": "1841570322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "489 WASHINGTON ST",
"address_2": "STE 200",
"city": "AUBURN",
"state": "MA",
"postal_code": "015015709",
"telephone_number": "774-696-8309",
"fax_number": "508-297-8416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "489 WASHINGTON ST",
"address_2": "STE 200",
"city": "AUBURN",
"state": "MA",
"postal_code": "015015709",
"telephone_number": "774-696-8309",
"fax_number": "508-297-8416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTOLUCITO",
"first_name": "JOYANNA",
"middle_name": "J",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-28",
"last_updated": "2021-05-12",
"certification_date": "2021-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": null,
"license": null,
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "19636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Auburn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.