Cindy W Brush, BS, PT

Individual provider Active NPI Pediatric Physical Therapist · Hudson, MA

NPI 1992988034 · NPPES record last updated Dec 12, 2007

Key facts

NPI
1992988034
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Physical Therapist 2251P0200X
License
335167 (MA)
Practice address
4 Wilkins St
Hudson, MA 01749-1802
Phone
(978) 562-6595
NPI assigned
Dec 12, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
335167MAMDPediatric Physical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 335167 MA Yes

Addresses

Primary practice location

4 Wilkins St
Hudson, MA 01749-1802

Mailing address

4 Wilkins St
Hudson, MA 01749-1802
Phone (978) 562-6595

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 12, 2007.

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197417600000",
    "number": "1992988034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 WILKINS ST",
            "city": "HUDSON",
            "state": "MA",
            "postal_code": "017491802",
            "telephone_number": "978-562-6595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 WILKINS ST",
            "city": "HUDSON",
            "state": "MA",
            "postal_code": "017491802",
            "telephone_number": "978-562-6595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUSH",
        "first_name": "CINDY",
        "middle_name": "W",
        "credential": "BS, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-12",
        "last_updated": "2007-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "MA",
            "license": "335167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, MA

All providers in Hudson, MA · Pediatric Physical Therapist in Massachusetts

Sources for this page

Verify at the official NPI Registry.