Active NPI
Margarita Menocal
- Physical Therapist
- Marlborough, MA
National Provider Identifier
1851735179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 17063
- Practice address
- 320 Bolton St
Ste G2
Marlborough, MA 01752-3988 - Phone
- (508) 624-0431
- Fax
- (508) 624-0434
- NPI assigned
- Apr 18, 2013
- 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 Therapist | 225100000X | 17063 | MA | Primary |
Addresses
Primary practice location
320 Bolton St
Ste G2
Marlborough, MA 01752-3988
Mailing address
6 Surrey LN
Worcester, MA 01609-1214
Phone (732) 757-2954
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 |
|---|---|---|---|
| 17063 | MA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greendale Physical Therapy, 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
- Shrewsbury, MA
- NPI 1053316182
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366243200000",
"number": "1851735179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 SURREY LN",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016091214",
"telephone_number": "732-757-2954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 BOLTON ST",
"address_2": "STE G2",
"city": "MARLBOROUGH",
"state": "MA",
"postal_code": "017523988",
"telephone_number": "508-624-0431",
"fax_number": "508-624-0434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENOCAL",
"first_name": "MARGARITA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-18",
"last_updated": "2013-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "17063",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marlborough, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.