Individual provider Active NPI

Linda Ream, DPT

  • Physical Therapist
  • Randolph, MA
National Provider Identifier
1013541796
Registry record updated Jul 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
24557 Issued in MA
Practice address
26 S Main St
Randolph, MA 02368-4821
Phone
(781) 961-9200
Fax
(781) 961-6599
NPI assigned
Mar 3, 2020
Last updated
Jul 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X PT295312 CA
Physical Therapist 225100000X 24557 MA Primary

Addresses

Primary practice location

26 S Main St
Randolph, MA 02368-4821

Mailing address

26 S Main St
Randolph, MA 02368-4821
Phone (781) 961-9200

Other practice location 1

8030 Soquel Ave Ste 200
Santa Cruz, CA 95062-2096
Phone (831) 464-8200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200813002285 MA Practitioner - Physical Therapist in Private Practice 8820414477 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT295312CAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bay State Physical Therapy of Randolph Inc Physical Therapist CurrentSince Jul 29, 2020 Accepting new patients
Massachusetts Luna Care Physical Therapy LLC Physical Therapist CurrentSince Dec 14, 2021 Accepting new patients
Bay State Physical Therapy of Randolph Inc Physical Therapist CurrentSince Jul 29, 2020 Accepting new patients

Locations

10 Post Office Sq
Ste 800
Boston, MA 02109
Phone (617) 231-0011

1 Pearl St
Ste 1700
Brockton, MA 02301
Phone (508) 427-0525

1343 Providence Hwy
Norwood, MA 02062
Phone (781) 702-1339

1 Credit Union Way
Fl 3
Randolph, MA 02368
Phone 7819613370225

26 S Main St
Randolph, MA 02368
Phone (781) 961-9200

1054 County St
Somerset, MA 02726
Phone (508) 674-3340

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1583193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595894400000",
    "number": "1013541796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 S MAIN ST",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023684821",
            "telephone_number": "781-961-9200",
            "fax_number": "781-961-6599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 S MAIN ST",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023684821",
            "telephone_number": "781-961-9200",
            "fax_number": "781-961-6599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8030 Soquel Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Santa Cruz",
            "state": "CA",
            "postal_code": "950622096",
            "country_code": "US",
            "telephone_number": "831-464-8200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REAM",
        "first_name": "LINDA",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-03",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "PT295312",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "24557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randolph, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.