Elizabeth McCann
Individual provider Active NPI Sports Physical Therapist · Belmont, MP
NPI 1033909007 · NPPES record last updated May 12, 2025
Key facts
- NPI
- 1033909007
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Sports Physical Therapist 2251S0007X
- Practice address
- 413 Trapelo Rd
#2
Belmont, MP 02478 - Phone
- (617) 932-1027
- NPI assigned
- May 12, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Premier Performance Physical Therapy and Sports Medicine, LLC
Practice addresses (Care Compare)
431 Trapelo Rd
Unit 2
Belmont, MA 02478-1417
Phone (617) 932-1027
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250624002035 | MA | Practitioner - Physical Therapist in Private Practice | 8820500044 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Performance Physical Therapy and Sports Medicine, L.L.C. | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physical Therapist | 2251S0007X | Yes |
Addresses
Primary practice location
413 Trapelo Rd
#2
Belmont, MP 02478
Mailing address
413 Trapelo Rd
#2
Belmont, MP 02478
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.