NPIMap

Organization Active NPI

Central Massachusetts Physical Therapy and Wellness, LLC

  • Physical Therapy Clinic/Center
  • West Boylston, MA
National Provider Identifier
1023214871
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
CENTRAL MASSACHUSETTS PHYSICAL THERAPY AND WELLNESS, LLC
Practice address
354 W Boylston St Ste 111
West Boylston, MA 01583-2373
Phone
(508) 852-3700
Fax
(508) 852-3777
NPI assigned
Jun 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2022

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

Authorized official

Name
Mr. Michael Roberts, PTNPI 1184699043
Title
Manager
Phone
(508) 667-0281

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

354 W Boylston St Ste 111
West Boylston, MA 01583-2373

Mailing address

176 Parker Ave
Holden, MA 01520-2462
Phone (508) 667-0281

Other practice location 1

18 Lyman St Ste 213
Westborough, MA 01581-1474
Phone (508) 852-3700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111102000017 MA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6507903481 Receives reassigned benefits from 26 practitioners
Practice locations: Lancaster, MA; West Boylston, MA; Westborough, MA

National Provider Directory

National Provider Directory
Tax ID family
Central Mass Physical Therapy and Wellne2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

417 Bolton Rd
Lancaster, MA 01523
Phone (508) 852-3700

9 Otis St
Westborough, MA 01581
Phone (508) 622-3700

18 Lyman St
Ste 213
Westborough, MA 01581
Phone (508) 622-3700

30 Lyman St
Ste 105B
Westborough, MA 01581
Phone (508) 852-3700

Practitioners & affiliated clinicians

Practitioners 27

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646697600000",
    "number": "1023214871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 PARKER AVE",
            "city": "HOLDEN",
            "state": "MA",
            "postal_code": "015202462",
            "telephone_number": "508-667-0281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 W BOYLSTON ST STE 111",
            "city": "WEST BOYLSTON",
            "state": "MA",
            "postal_code": "015832373",
            "telephone_number": "508-852-3700",
            "fax_number": "508-852-3777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 Lyman St Ste 213",
            "address_purpose": "LOCATION",
            "city": "Westborough",
            "state": "MA",
            "postal_code": "015811474",
            "country_code": "US",
            "telephone_number": "508-852-3700",
            "fax_number": "508-852-3777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTRAL MASSACHUSETTS PHYSICAL THERAPY AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "508-667-0281",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Boylston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; 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.