Active NPI
Luann M Fitzgerald, PT
- Physical Therapist
- Watertown, MA
National Provider Identifier
1043287519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6312
- Practice address
- 135 N Beacon St
Watertown, MA 02472-2751 - Phone
- (617) 926-8720
- Fax
- (617) 926-8920
- NPI assigned
- Mar 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6312 | MA | Primary |
Addresses
Primary practice location
135 N Beacon St
Watertown, MA 02472-2751
Mailing address
135 N Beacon St
Watertown, MA 02472-2751
Phone (617) 926-8720
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0389943 | Medicaid | MD | |
| Y65404 | Other | MA | BLUE CROSS BLUE SHIELD |
| 760390/FITZGERA | Other | MA | TUFTS HEALTH PLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6312 | MA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Off-Season Sports & Physical Therapy Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- North Andover, MA
- NPI 1902127913
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1043287519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 N BEACON ST",
"city": "WATERTOWN",
"state": "MA",
"postal_code": "024722751",
"telephone_number": "617-926-8720",
"fax_number": "617-926-8920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 N BEACON ST",
"city": "WATERTOWN",
"state": "MA",
"postal_code": "024722751",
"telephone_number": "617-926-8720",
"fax_number": "617-926-8920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZGERALD",
"first_name": "LUANN",
"middle_name": "M",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-03",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "6312",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0389943",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "Y65404",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "760390/FITZGERA",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Watertown, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.