Active NPI
Laura Marie Antonelli
- Physical Therapist
- Greenfield, MA
National Provider Identifier
1851801146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 22067
- Practice address
- 306A High St
Greenfield, MA 01301-2611 - Phone
- (413) 773-3379
- NPI assigned
- Oct 2, 2017
- Last updated
- Oct 2, 2017
- 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 | 22067 | MA | Primary |
Addresses
Primary practice location
306A High St
Greenfield, MA 01301-2611
Mailing address
46 Fort SQ
Greenfield, MA 01301-2822
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 |
|---|---|---|---|
| 22067 | MA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1506902400000",
"number": "1851801146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46 FORT SQ",
"city": "GREENFIELD",
"state": "MA",
"postal_code": "013012822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "306A HIGH ST",
"city": "GREENFIELD",
"state": "MA",
"postal_code": "013012611",
"telephone_number": "413-773-3379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTONELLI",
"first_name": "LAURA",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-02",
"last_updated": "2017-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "22067",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.