Individual provider Active NPI

Kauren Quatromoni

  • Physical Therapy Assistant
  • Andover, MA
National Provider Identifier
1982832234
Registry record updated Jun 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
7634 Issued in MA
Practice address
200 Brickstone SQ
Suite 301
Andover, MA 01810-1437
Phone
(978) 474-7500
NPI assigned
Jun 25, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 7634 MA Primary

Addresses

Primary practice location

200 Brickstone SQ
Suite 301
Andover, MA 01810-1437

Mailing address

200 Brickstone SQ
Suite 301
Andover, MA 01810-1437
Phone (978) 474-7500

Other names 1

  • Kauren Emanuello Former name

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

State licenses

LicenseStateTypeSpecialty
7634MAMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245888000000",
    "number": "1982832234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BRICKSTONE SQ",
            "address_2": "SUITE 301",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018101437",
            "telephone_number": "978-474-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BRICKSTONE SQ",
            "address_2": "SUITE 301",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018101437",
            "telephone_number": "978-474-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUATROMONI",
        "first_name": "KAUREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-25",
        "last_updated": "2009-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MA",
            "license": "7634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAUREN",
            "last_name": "EMANUELLO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Andover, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2009; 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.