Individual provider Active NPI

Daniel M Connors, P.T., M.S., CSCS

  • Physical Therapist
  • Natick, MA
National Provider Identifier
1063402253
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11437 Issued in MA
Practice address
1 H F Brown Way
Natick, MA 01760-3889
Phone
(508) 647-1633
Fax
(508) 647-1634
NPI assigned
Oct 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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 11437 MA Primary

Addresses

Primary practice location

1 H F Brown Way
Natick, MA 01760-3889

Mailing address

1 H F Brown Way
Natick, MA 01760-3889
Phone (508) 647-1633

Other practice location 1

57 Chapel St Ste 101
Newton, MA 02458-1086
Phone (617) 467-5901

Other practice location 2

290 Vanderbilt Ave Ste 5
Norwood, MA 02062-5038
Phone (781) 349-8235

Other identifiers 3

IdentifierTypeStateIssuer
461437OtherMATUFTS INDIVIDUAL NUMBER
Y68041OtherMABCBS INCVIDUAL NUMBER
0397148MedicaidMA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060412000687 MA Practitioner - Physical Therapist in Private Practice 5193700284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jump Start Physical Therapy, IncGroup PAC ID 0042295123, 12 clinicians

Practice addresses (Care Compare)

1 H F Brown Way
Natick, MA 01760-3889
Phone (508) 647-1633

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
11437MAMDSkilled Nursing Facility

Practice roles

OrganizationSpecialtyStatusNew patients
Jump Start Physical Therapy, Inc Physical Therapist CurrentSince Aug 29, 2007 Accepting new patients

Locations

1 H F Brown Way
Natick, MA 01760
Phone (508) 647-1633

247 W Central St
Natick, MA 01760
Phone (508) 647-1633

57 Chapel St
Ste 101
Newton, MA 02458
Phone (617) 467-5901

290 Vanderbilt Ave
Ste 5
Norwood, MA 02062
Phone (781) 349-8235

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.

NPI Registry JSON

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1063402253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 H F BROWN WAY",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017603889",
            "telephone_number": "508-647-1633",
            "fax_number": "508-647-1634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 H F BROWN WAY",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017603889",
            "telephone_number": "508-647-1633",
            "fax_number": "508-647-1634"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "57 Chapel St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Newton",
            "state": "MA",
            "postal_code": "024581086",
            "country_code": "US",
            "telephone_number": "617-467-5901",
            "fax_number": "508-647-1634",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "290 Vanderbilt Ave Ste 5",
            "address_purpose": "LOCATION",
            "city": "Norwood",
            "state": "MA",
            "postal_code": "020625038",
            "country_code": "US",
            "telephone_number": "781-349-8235",
            "fax_number": "781-349-8217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONNORS",
        "first_name": "DANIEL",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "P.T., M.S., CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "11437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS INDIVIDUAL NUMBER",
            "identifier": "461437",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INCVIDUAL NUMBER",
            "identifier": "Y68041",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0397148",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Natick, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.