Organization Active NPI

Three Trees Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • North Easton, MA
National Provider Identifier
1033881313
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
THREE TREES PHYSICAL THERAPY, LLC
Practice address
285 Washington St Ste 4
North Easton, MA 02356-1117
Phone
(508) 944-5304
NPI assigned
Oct 4, 2021
Last updated
Oct 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

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

Authorized official

Name
Dr. Mary M McCarthy, PT, DPTNPI 1366899700
Title
Owner
Phone
(508) 944-5304

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 NU Primary

Addresses

Primary practice location

285 Washington St Ste 4
North Easton, MA 02356-1117

Mailing address

49 Burkeside Ave
Brockton, MA 02301-1454
Phone (508) 944-5304

Other identifiers 1

IdentifierTypeStateIssuer
1366899700MedicaidMA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211209000591 MA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3971993700 Receives reassigned benefits from 1 practitioner
Practice locations: North Easton, MA

National Provider Directory

National Provider Directory

Locations

285 Washington St
Ste 4
North Easton, MA 02356
Phone (508) 230-2323

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1633305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633305600000",
    "number": "1033881313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 BURKESIDE AVE",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011454",
            "telephone_number": "508-944-5304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 WASHINGTON ST STE 4",
            "city": "NORTH EASTON",
            "state": "MA",
            "postal_code": "023561117",
            "telephone_number": "508-944-5304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE TREES PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-04",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A",
        "authorized_official_last_name": "MCCARTHY",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-944-5304",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366899700",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Easton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; 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.