Active NPI
Briana Eagan
- Physical Therapist
- Watertown, MA
National Provider Identifier
1992354450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 51 Water St
Watertown, MA 02472-4611 - Phone
- (617) 744-8300
- NPI assigned
- Sep 8, 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 | MA | Primary |
Addresses
Primary practice location
51 Water St
Watertown, MA 02472-4611
Mailing address
270 Pleasant St Apt 120
Watertown, MA 02472-2472
Other practice location 1
113 Low St
Newburyport, MA 01950-3540
Phone (978) 462-7373
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": "1567900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609459200000",
"number": "1992354450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "270 PLEASANT ST APT 120",
"city": "WATERTOWN",
"state": "MA",
"postal_code": "024722472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 WATER ST",
"city": "WATERTOWN",
"state": "MA",
"postal_code": "024724611",
"telephone_number": "617-744-8300"
}
],
"practiceLocations": [
{
"address_1": "113 Low St",
"address_purpose": "LOCATION",
"city": "Newburyport",
"state": "MA",
"postal_code": "019503540",
"country_code": "US",
"telephone_number": "978-462-7373",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EAGAN",
"first_name": "BRIANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-08",
"last_updated": "2021-01-01",
"certification_date": "2020-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Watertown, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.