Individual provider Active NPI

Eileen Kurcon, PT

  • Physical Therapist
  • Harvard, MA
National Provider Identifier
1023068517
Registry record updated Oct 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6028 Issued in MA
Practice address
325 Ayer Rd
Harvard, MA 01451-1132
Phone
(978) 772-8100
Fax
(978) 772-8102
NPI assigned
May 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6028 MA Primary

Addresses

Primary practice location

325 Ayer Rd
Harvard, MA 01451-1132

Mailing address

325 Ayer Rd
Harvard, MA 01451-1132
Phone (978) 772-8100

Other names 1

  • Eileen McNeil Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051215000171 MA Practitioner - Physical Therapist in Private Practice 4486544335 Reassigns benefits to 1 organization
I20160621002060 RI Practitioner - Physical Therapist in Private Practice 4486544335 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connections Physical Therapy, Inc.Group PAC ID 3577456623, 88 clinicians

Practice addresses (Care Compare)

60 Messenger St
Plainville, MA 02762-2258
Phone (617) 540-0921

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6028MAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pappas Physical Therapy LLC Physical Therapist CurrentSince Jan 29, 2020 Accepting new patients
Pappas Physical Therapy LLC CurrentSince Jan 29, 2020 Accepting new patients
Connections Physical Therapy Inc Physical Therapist PastSince Apr 6, 2021 Accepting new patients
Connections Physical Therapy NH, LLC Physical Therapist Past Accepting new patients

Locations

1100 Reservoir Ave
Cranston, RI 02910
Phone (401) 785-1016

1539 Atwood Ave
Ste 202
Johnston, RI 02919
Phone (401) 351-0515

1181 Aquidneck Ave
Middletown, RI 02842
Phone (401) 845-0840

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193184000000",
    "number": "1023068517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 AYER RD",
            "city": "HARVARD",
            "state": "MA",
            "postal_code": "014511132",
            "telephone_number": "978-772-8100",
            "fax_number": "978-772-8102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 AYER RD",
            "city": "HARVARD",
            "state": "MA",
            "postal_code": "014511132",
            "telephone_number": "978-772-8100",
            "fax_number": "978-772-8102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURCON",
        "first_name": "EILEEN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2007-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "6028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EILEEN",
            "last_name": "MCNEIL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Harvard, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.