Active NPI
Meghan Stornelli, DPT
- Physical Therapist
- Watertown, MA
National Provider Identifier
1902183932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 19756
- Practice address
- 191 Watertown St
Watertown, MA 02472-2571 - Phone
- (617) 630-9778
- Fax
- (617) 630-5202
- NPI assigned
- Nov 4, 2011
- Last updated
- Apr 25, 2018
- 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 | 19756 | MA | Primary |
Addresses
Primary practice location
191 Watertown St
Watertown, MA 02472-2571
Mailing address
535 S Main St
Randolph, MA 02368-5261
Phone (781) 961-3370
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
20 Atwood Rd
Topsham, ME 04086-5759
Phone (207) 307-2121
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19756 | MA | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PT Me 1 LLC | Physical Therapist | Current | Accepting new patients |
Locations
20 Atwood Rd
Topsham, ME 04086
Phone (207) 307-2121
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524614400000",
"number": "1902183932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "535 S MAIN ST",
"city": "RANDOLPH",
"state": "MA",
"postal_code": "023685261",
"telephone_number": "781-961-3370",
"fax_number": "781-767-7531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "191 WATERTOWN ST",
"city": "WATERTOWN",
"state": "MA",
"postal_code": "024722571",
"telephone_number": "617-630-9778",
"fax_number": "617-630-5202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STORNELLI",
"first_name": "MEGHAN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-04",
"last_updated": "2018-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "19756",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Watertown, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.