Active NPI
Suzanne Dimack
- Mechanotherapist
- Lexington, MA
National Provider Identifier
1972094738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- 3282
- Practice address
- 1762 Mass Ave Ste 204
Lexington, MA 02420-5328 - Phone
- (617) 968-1233
- NPI assigned
- May 28, 2018
- 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 |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | 3282 | MA | Primary |
Addresses
Primary practice location
1762 Mass Ave Ste 204
Lexington, MA 02420-5328
Mailing address
1762 Mass Ave Ste 204
Lexington, MA 02420-5328
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527465600000",
"number": "1972094738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1762 MASS AVE STE 204",
"city": "LEXINGTON",
"state": "MA",
"postal_code": "024205328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1762 MASS AVE STE 204",
"city": "LEXINGTON",
"state": "MA",
"postal_code": "024205328",
"telephone_number": "617-968-1233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIMACK",
"first_name": "SUZANNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-28",
"last_updated": "2018-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "MA",
"license": "3282",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.