Joan Elizabeth Padrenoss, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

4211 Issued in MA

Practice address

165 Court St
Brockton, MA 02302-4608

Phone

(508) 897-0007

Fax

(508) 897-0020

NPI assigned

Apr 6, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Progress Rehabilitation, Inc.

  • Physical Therapist
  • Brockton, MA
  • NPI 1912025271
  NPD (past)

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

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522972800000",
    "number": "1962909911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 PINEHURST AVE",
            "city": "SWANSEA",
            "state": "MA",
            "postal_code": "027772317",
            "telephone_number": "508-678-0283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 COURT ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023024608",
            "telephone_number": "508-897-0007",
            "fax_number": "508-897-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADRENOSS",
        "first_name": "JOAN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Miss",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-06",
        "last_updated": "2018-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MA",
            "license": "4211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY ASSISTANT",
            "identifier": "4211",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gabriela Pacheco
• Katherine Pacheco, NP
• Rachel Danielle Pacheco
• George Padilla, MD
• Samantha Padilla
• Justine Padula
• Viviane Pady, RN
• Danielle Victoria Paez, LICSW
• Hector Pagan
• Stephanie Anne Pagano

• Physical Therapy Assistant in Brockton, MA
• Providers in Brockton, MA by specialty
• Physical Therapy Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2018; 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.