Active NPI
Rebecca Collette
- Physical Therapist
- Marlborough, MA
National Provider Identifier
1962287037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 27120
- Practice address
- 262 E Main St
Marlborough, MA 01752-2669 - Phone
- (978) 868-6745
- NPI assigned
- Aug 28, 2023
- Last updated
- Aug 28, 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 27120 | MA | Primary |
Addresses
Primary practice location
262 E Main St
Marlborough, MA 01752-2669
Mailing address
262 E Main St
Marlborough, MA 01752-2669
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27120 | MA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JPPT Corp | Physical Therapist | Current | Accepting new patients |
Locations
262 E Main St
Marlborough, MA 01752
Phone (508) 251-1819
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": "1693180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693180800000",
"number": "1962287037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "262 E MAIN ST",
"city": "MARLBOROUGH",
"state": "MA",
"postal_code": "017522669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "262 E MAIN ST",
"city": "MARLBOROUGH",
"state": "MA",
"postal_code": "017522669",
"telephone_number": "978-868-6745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLETTE",
"first_name": "REBECCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-28",
"last_updated": "2023-08-28",
"certification_date": "2023-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "27120",
"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 Aug 28, 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.