Active NPI
Rebecca Burgio
- Chiropractor
- Marlborough, MA
National Provider Identifier
1952007676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3356
- Practice address
- 246A Mechanic St
Marlborough, MA 01752-4418 - Phone
- (508) 395-9523
- NPI assigned
- Feb 3, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3356 | MA | Primary |
Addresses
Primary practice location
246A Mechanic St
Marlborough, MA 01752-4418
Mailing address
246A Mechanic St
Marlborough, MA 01752-4418
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231108002983 | MA | Practitioner - Chiropractic | 1456708791 | Practice locations: Marlborough, MA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3356 | MA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675382400000",
"number": "1952007676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "246A MECHANIC ST",
"city": "MARLBOROUGH",
"state": "MA",
"postal_code": "017524418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "246A MECHANIC ST",
"city": "MARLBOROUGH",
"state": "MA",
"postal_code": "017524418",
"telephone_number": "508-395-9523"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURGIO",
"first_name": "REBECCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-03",
"last_updated": "2023-02-03",
"certification_date": "2023-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MA",
"license": "3356",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marlborough, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.