Individual provider Active NPI

Bridget Quinndicarlo, PTA

  • Physical Therapy Assistant
  • Great Barrington, MA
National Provider Identifier
1902238751
Registry record updated Aug 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
8823 Issued in MA
Practice address
151 Christian Hill Rd
Great Barrington, MA 01230-1108
Phone
(413) 528-7121
NPI assigned
Aug 4, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 8823 MA Primary

Addresses

Primary practice location

151 Christian Hill Rd
Great Barrington, MA 01230-1108

Mailing address

19 Chestnut St
Dalton, MA 01226-1407
Phone (413) 684-0879

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1375574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375574400000",
    "number": "1902238751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 CHESTNUT ST",
            "city": "DALTON",
            "state": "MA",
            "postal_code": "012261407",
            "telephone_number": "413-684-0879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 CHRISTIAN HILL RD",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "012301108",
            "telephone_number": "413-528-7121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINNDICARLO",
        "first_name": "BRIDGET",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-04",
        "last_updated": "2013-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MA",
            "license": "8823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Barrington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.

Verify at the official NPI Registry.