Active NPI
Marissa Joni Heller, DPT
- Physical Therapist
- Woburn, MA
National Provider Identifier
1992018915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 19108
- Practice address
- 10J Gill St
Woburn, MA 01801-1721 - Phone
- (781) 932-2888
- NPI assigned
- Jul 19, 2010
- 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 | 19108 | MA | Primary |
Addresses
Primary practice location
10J Gill St
Woburn, MA 01801-1721
Mailing address
401 Mount Vernon St Apt 724
Dorchester, MA 02125-3150
Phone (914) 584-5683
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
| License | State | Type | Specialty |
|---|---|---|---|
| 19108 | MA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279497600000",
"number": "1992018915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 MOUNT VERNON ST APT 724",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "021253150",
"telephone_number": "914-584-5683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10J GILL ST",
"city": "WOBURN",
"state": "MA",
"postal_code": "018011721",
"telephone_number": "781-932-2888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HELLER",
"first_name": "MARISSA",
"middle_name": "JONI",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-19",
"last_updated": "2010-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "19108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woburn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.