Active NPI
Norma P Strack, PTA
- Physical Therapy Assistant
- Medford, MA
National Provider Identifier
1992934582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 3969
- Practice address
- 200 Governors Ave
Medford, MA 02155-1644 - Phone
- (781) 391-5400
- NPI assigned
- Jul 5, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 Therapy Assistant | 225200000X | 3969 | MA | Primary |
Addresses
Primary practice location
200 Governors Ave
Medford, MA 02155-1644
Mailing address
141 Eastway
Reading, MA 01867-1110
Phone (781) 944-9322
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 |
|---|---|---|---|
| 3969 | MA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246752000000",
"number": "1992934582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 EASTWAY",
"city": "READING",
"state": "MA",
"postal_code": "018671110",
"telephone_number": "781-944-9322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 GOVERNORS AVE",
"city": "MEDFORD",
"state": "MA",
"postal_code": "021551644",
"telephone_number": "781-391-5400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRACK",
"first_name": "NORMA",
"middle_name": "P",
"name_prefix": "Mrs.",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-05",
"last_updated": "2009-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MA",
"license": "3969",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.