Active NPI
John Allen Quevillon, PT
- Physical Therapist
- Spencer, MA
National Provider Identifier
1962151670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7555
- Practice address
- 133 W Main St
Spencer, MA 01562-2691 - Phone
- (774) 449-8058
- NPI assigned
- Mar 21, 2022
- Sex
- Male
- 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 | 7555 | MA | Primary |
Addresses
Primary practice location
133 W Main St
Spencer, MA 01562-2691
Mailing address
51 Town Farm Rd
Brookfield, MA 01506-1744
Phone (508) 397-0606
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.choicephysicaltherapy.net |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7555 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647820800000",
"number": "1962151670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 TOWN FARM RD",
"city": "BROOKFIELD",
"state": "MA",
"postal_code": "015061744",
"telephone_number": "508-397-0606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 W MAIN ST",
"city": "SPENCER",
"state": "MA",
"postal_code": "015622691",
"telephone_number": "774-449-8058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUEVILLON",
"first_name": "JOHN",
"middle_name": "ALLEN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-03-21",
"last_updated": "2022-03-21",
"certification_date": "2022-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "7555",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.choicephysicaltherapy.net",
"affiliation": "N",
"endpointDescription": "PT office",
"address_1": "133 W Main St",
"city": "Spencer",
"state": "MA",
"country_code": "US",
"postal_code": "015622691",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Spencer, MA
- James John Ostromecky, DDS
- Bryanna Pacheco, RPH
- Grant Pattee, DPT
- Sharmin Porcaro
- Premise Health of Massachusetts Medical PC (FLEXcon - Spencer)
- Katie Ricciardi, MSW, LCSW
- Pamelym Frankielle Rodrigues de Oliveira
- Saint Joseph's Abbey Resident Care Facility
- Scensob LLC (SCENSOB Home Care)
- Peter J Schwartz, D.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.