Active NPI
Lawrence Ross, RPT
- Orthopedic Physical Therapist
- Wellesley, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 002762
- Practice address
- 2 Laurel Ave
Wellesley, MA 02481-7523 - Phone
- (781) 237-5585
- Fax
- (781) 237-5633
- NPI assigned
- Jul 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | MA | ||
| Orthopedic Physical Therapist | 2251X0800X | 002762 | CT | Primary |
Addresses
Primary practice location
2 Laurel Ave
Wellesley, MA 02481-7523
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Other practice location 1
4747 Main St
Bridgeport, CT 06606-1804
Phone (203) 372-0649
Other practice location 2
153 East Ave
Suite 30-31
Norwalk, CT 06851
Phone (203) 853-1073
Other practice location 3
2900 Main St
Stratford, CT 06614-4946
Phone (203) 372-0649
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18901 | Other | CT | CIGNA/ORTHONET ID NUMBER |
| ANC1685 | Other | CT | OXFORD ID NUMBER |
| 50RPTINC0CT01 | Other | CT | BLUE CROSS BLUE SHIELD NU |
| 764202 | Other | CT | CONNECTICARE ID NUMBER |
| 2019893 | Other | CT | AETNA ID NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2 Laurel Ave
Wellesley, MA 02481-7523
Phone (781) 237-5585
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.19 of 100
- Quality
- 86.04
- Improvement activities
- 40
- Cost
- 76.23
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002762 | CT | MD | Obstetrics & Gynecology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Performance Rehabilitation of Western New England LLC | Physical Therapist | Current | Accepting new patients |
| Performance Rehabilitation of Western New England LLC | Physical Therapist | Current | Accepting new patients |
| Carl Gustafson LLC | Physical Therapist | Past | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
33377 Collection Ctr Dr
Chicago, IL 60693
Phone (617) 284-9418
101 University Dr
Ste A6
Amherst, MA 01002
Phone (413) 336-5703
1016 Paradise Rd
Swampscott, MA 01907
Phone (781) 309-9007
2 Laurel Ave
Wellesley Hills, MA 02481
Phone (781) 237-5585
Organizations & group practices 3
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 Therapist
- West Springfield, MA
- NPI 1710919063
-
- Durable Medical Equipment & Medical Supplies
- Wilbraham, MA
- NPI 1376140566
Physical Therapist
-
- Physical Therapist
- Wellesley, MA
- NPI 1356366082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704758400000",
"number": "1073536868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 LAUREL AVE",
"city": "WELLESLEY",
"state": "MA",
"postal_code": "024817523",
"telephone_number": "781-237-5585",
"fax_number": "781-237-5633"
}
],
"practiceLocations": [
{
"address_1": "4747 Main St",
"address_purpose": "LOCATION",
"city": "Bridgeport",
"state": "CT",
"postal_code": "066061804",
"country_code": "US",
"telephone_number": "203-372-0649",
"fax_number": "203-373-0376",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "153 East Ave",
"address_2": "Suite 30-31",
"address_purpose": "LOCATION",
"city": "Norwalk",
"state": "CT",
"postal_code": "06851",
"country_code": "US",
"telephone_number": "203-853-1073",
"fax_number": "203-853-0699",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2900 Main St",
"address_purpose": "LOCATION",
"city": "Stratford",
"state": "CT",
"postal_code": "066144946",
"country_code": "US",
"telephone_number": "203-372-0649",
"fax_number": "203-373-0376",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSS",
"first_name": "LAWRENCE",
"name_prefix": "Mr.",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2024-01-09",
"certification_date": "2023-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": null,
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CT",
"license": "002762",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA/ORTHONET ID NUMBER",
"identifier": "18901",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD ID NUMBER",
"identifier": "ANC1685",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD NU",
"identifier": "50RPTINC0CT01",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE ID NUMBER",
"identifier": "764202",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA ID NUMBER",
"identifier": "2019893",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wellesley, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.