Active NPI
Emily Farrell
- Physical Therapist
- Beverly, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 24533
- Practice address
- 900 Cummings Ctr Ste 130S
Beverly, MA 01915-6183 - Phone
- (978) 524-7827
- Fax
- (978) 524-7828
- NPI assigned
- Sep 10, 2019
- 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 | 24533 | MA | Primary |
Addresses
Primary practice location
900 Cummings Ctr Ste 130S
Beverly, MA 01915-6183
Mailing address
576 Broadhollow Rd
Melville, NY 11747-5002
Phone (631) 359-5859
Other practice location 1
100 Washington St Ste B
Canton, MA 02021-4017
Phone (781) 214-6505
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 24533 | Other | MA | PT LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 Tradecenter
Suite 1650
Woburn, MA 01801-1884
Phone (781) 935-2655
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24533 | MA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proex Physical Therapy, LLC | Current | Accepting new patients | |
| Marathon Physical Therapy and Sports Medicine, LLC | Physical Therapist | Current | Accepting new patients |
| Proex Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Marathon Physical Therapy and Sports Medicine, LLC | Physical Therapist | Past | Accepting new patients |
Locations
900 Cummings Ctr
Ste 130S
Beverly, MA 01915
Phone (978) 420-4878
10 High St
Ste 303
Boston, MA 02110
Phone (617) 542-6999
100 Washington St
Ste B
Canton, MA 02021
Phone (781) 214-6505
250 E Main St
Norton, MA 02766
Phone (508) 285-5533
99 Vanderbilt Ave
Norwood, MA 02062
Phone (781) 352-5400
22 Aarons Way
Unit 4
West Yarmouth, MA 02673
Phone (774) 352-7060
300 Tradecenter
Ste 1650
Woburn, MA 01801
Phone (781) 925-7643
576 Broadhollow Rd
Melville, NY 11747
Organizations & group practices 4
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.
-
- Physical Therapist
- Woburn, MA
- NPI 1831190453
-
- Physical Therapist
- Norton, MA
- NPI 1225161193
-
- Occupational Therapist
- Boston, MA
- NPI 1508757956
-
- Physical Therapist
- Newton, MA
- NPI 1346373115
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577145600000",
"number": "1992354070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "576 BROADHOLLOW RD",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117475002",
"telephone_number": "631-359-5859",
"fax_number": "631-396-0864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 CUMMINGS CTR STE 130S",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019156183",
"telephone_number": "978-524-7827",
"fax_number": "978-524-7828"
}
],
"practiceLocations": [
{
"address_1": "100 Washington St Ste B",
"address_purpose": "LOCATION",
"city": "Canton",
"state": "MA",
"postal_code": "020214017",
"country_code": "US",
"telephone_number": "781-214-6505",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FARRELL",
"first_name": "EMILY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-10",
"last_updated": "2019-12-24",
"certification_date": "2019-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "24533",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LICENSE",
"identifier": "24533",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beverly, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.