Active NPI
Reid Motha, PA-C
- Physician Assistant
- Northampton, MA
National Provider Identifier
1003207929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA5226
- Practice address
- 30 Locust St
Northampton, MA 01060-2052 - Phone
- (413) 582-2000
- NPI assigned
- Feb 13, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | E881169 | MA | |
| Physician Assistant | 363A00000X | PA5226 | MA | Primary |
Addresses
Primary practice location
30 Locust St
Northampton, MA 01060-2052
Mailing address
PO Box 633
Pittsfield, MA 01202-0633
Phone (413) 582-2363
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E881169 | MA | MD | Basic Emergency Medical Technician |
| PA5226 | MA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athol Memorial Hospital Incorporated | Physician Assistant | Current | Accepting new patients |
| Henry Heywood Memorial Hospital | Current | Accepting new patients | |
| Mass General Brigham Medical Group Western Massachusetts Inc | Past | Accepting new patients |
Locations
2033 Main St
Athol, MA 01331
Phone (978) 249-1295
242 Green St
Gardner, MA 01440
Phone (978) 258-4734
242 Green St
Ste 205
Gardner, MA 01440
Organizations & group practices 6
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.
-
- Critical Access Hospital
- Athol, MA
- NPI 1336120047
Physician Assistant
-
- General Acute Care Hospital
- Gardner, MA
- NPI 1205823879
-
- Family Medicine Physician
- Northampton, MA
- NPI 1295787919
-
- Emergency Medicine Physician
- Ayer, MA
- NPI 1780971275
-
- Hospitalist Physician
- Gardner, MA
- NPI 1205448701
-
- Psychiatry Physician
- Northampton, MA
- NPI 1942605373
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423785600000",
"number": "1003207929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 633",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "012020633",
"telephone_number": "413-582-2363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 LOCUST ST",
"city": "NORTHAMPTON",
"state": "MA",
"postal_code": "010602052",
"telephone_number": "413-582-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOTHA",
"first_name": "REID",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-02-13",
"last_updated": "2015-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": "MA",
"license": "E881169",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "PA5226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northampton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.