Individual provider Active NPI

Robert E Thomas, MSPT, LATC

  • Physical Therapist
  • Acton, MA
National Provider Identifier
1053385427
Registry record updated Apr 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
15629 Issued in MA
Practice address
411 Mass Ave
Suite 302
Acton, MA 01720-3739
Phone
(978) 263-0007
Fax
(978) 263-0014
NPI assigned
Feb 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2014

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 15629 MA Primary

Addresses

Primary practice location

411 Mass Ave
Suite 302
Acton, MA 01720-3739

Mailing address

411 Mass Ave
Suite 302
Acton, MA 01720-3739
Phone (978) 263-0007

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060412000619 MA Practitioner - Physical Therapist in Private Practice 2769491158 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15629MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Achieve Physical Therapy LLC Physical Therapist CurrentSince Feb 1, 2008 Accepting new patients
Achieve Physical Therapy, PC Physical Therapist Past Accepting new patients

Locations

411 Massachusetts Ave
Ste 302
Acton, MA 01720
Phone (978) 263-0007

Organizations & group practices 2

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": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397088000000",
    "number": "1053385427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 MASS AVE",
            "address_2": "SUITE 302",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017203739",
            "telephone_number": "978-263-0007",
            "fax_number": "978-263-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 MASS AVE",
            "address_2": "SUITE 302",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017203739",
            "telephone_number": "978-263-0007",
            "fax_number": "978-263-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "ROBERT",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "MSPT, LATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2014-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "15629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Acton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2014; 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.