Active NPI
Pamela Quezada
- Physical Therapist
- Woburn, MA
National Provider Identifier
1912451675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 22448
- Practice address
- 300 Tradecenter
Suite 1650
Woburn, MA 01801-1883 - Phone
- (781) 935-2655
- Fax
- (781) 935-9097
- NPI assigned
- Aug 11, 2016
- 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 | 22448 | MA | Primary |
Addresses
Primary practice location
300 Tradecenter
Suite 1650
Woburn, MA 01801-1883
Mailing address
210 Commerce Way
Suite 120
Portsmouth, NH 03801-8200
Phone (603) 427-8066
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Competitive Edge Physical Therapy & Sports Training, 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 Therapy Clinic/Center
- Norwell, MA
- NPI 1366502023
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470873600000",
"number": "1912451675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 COMMERCE WAY",
"address_2": "SUITE 120",
"city": "PORTSMOUTH",
"state": "NH",
"postal_code": "038018200",
"telephone_number": "603-427-8066",
"fax_number": "603-501-0495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 TRADECENTER",
"address_2": "SUITE 1650",
"city": "WOBURN",
"state": "MA",
"postal_code": "018011883",
"telephone_number": "781-935-2655",
"fax_number": "781-935-9097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUEZADA",
"first_name": "PAMELA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-11",
"last_updated": "2016-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "22448",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woburn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.