Active NPI
Anjali Mathur, M.S.P.T
- Geriatric Physical Therapist
- Braintree, MA
National Provider Identifier
1891910519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- 15730
- Practice address
- 501 Mahar Highway
Braintree, MA 02184 - Phone
- (781) 843-2733
- Fax
- (781) 843-2805
- NPI assigned
- Apr 16, 2007
- 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 |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | 15730 | MA | Primary |
Addresses
Primary practice location
501 Mahar Highway
Braintree, MA 02184
Mailing address
32 Waterford Dr
Worcester, MA 01602-3509
Phone (508) 755-2405
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 |
|---|---|---|---|
| 15730 | MA | MD | Geriatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891910519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 WATERFORD DR",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016023509",
"telephone_number": "508-755-2405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 MAHAR HIGHWAY",
"city": "BRAINTREE",
"state": "MA",
"postal_code": "02184",
"telephone_number": "781-843-2733",
"fax_number": "781-843-2805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHUR",
"first_name": "ANJALI",
"name_prefix": "Mrs.",
"credential": "M.S.P.T",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "MA",
"license": "15730",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Braintree, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.