Active NPI
Amanda Marie Dodge, PT
- Physical Therapist
- Northborough, MA
National Provider Identifier
1063487189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 112 Main St
Hardy Physical Therapy Rehabilitations Services Inc
Northborough, MA 01532 - Phone
- (508) 393-7298
- Fax
- (508) 393-1338
- NPI assigned
- Feb 22, 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 | Primary |
Addresses
Primary practice location
112 Main St
Hardy Physical Therapy Rehabilitations Services Inc
Northborough, MA 01532
Mailing address
112 Main St
Northborough Medical Building
Northborough, MA 01532
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 468920 | Other | TUFTS | |
| Y68332 | Other | BCBS |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1063487189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 MAIN ST",
"address_2": "NORTHBOROUGH MEDICAL BUILDING",
"city": "NORTHBOROUGH",
"state": "MA",
"postal_code": "01532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 MAIN ST",
"address_2": "HARDY PHYSICAL THERAPY REHABILITATIONS SERVICES INC",
"city": "NORTHBOROUGH",
"state": "MA",
"postal_code": "01532",
"telephone_number": "508-393-7298",
"fax_number": "508-393-1338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DODGE",
"first_name": "AMANDA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-22",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "468920",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "Y68332",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Northborough, 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.