Active NPI
Malinda Cabral Braga Sr., MSPT
- Physical Therapist
- Hyde Park, MA
National Provider Identifier
1982724464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 15799
- Practice address
- 745 Truman Hwy
Hyde Park, MA 02136-3536 - Phone
- (617) 361-8300
- NPI assigned
- Mar 30, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 | 15799 | MA | Primary |
Addresses
Primary practice location
745 Truman Hwy
Hyde Park, MA 02136-3536
Mailing address
69 Newton St
Apt #1R
Somerville, MA 02143-3944
Phone (617) 530-0419
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Louis B. Coiro, Inc | Physical Therapist | Past | Accepting new patients |
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": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982724464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "69 NEWTON ST",
"address_2": "APT #1R",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "021433944",
"telephone_number": "617-530-0419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "745 TRUMAN HWY",
"city": "HYDE PARK",
"state": "MA",
"postal_code": "021363536",
"telephone_number": "617-361-8300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAGA",
"first_name": "MALINDA",
"middle_name": "CABRAL",
"name_suffix": "Sr.",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "15799",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hyde Park, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.