Physical Therapy Assoc of Concord

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PHYSICAL THERAPY ASSOC OF CONCORD

Practice address

290 Baker Ave
Ste 111
Concord, MA 01742

Phone

(978) 369-0730

Fax

(978) 371-7499

NPI assigned

Jul 8, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mary D Zupkus, PT

Title

President

Phone

(978) 369-0730

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Johanna P Guarino, PT

  • Physical Therapist
  • Concord, MA
  • NPI 1417972100
  NPD (past)
• Susan E Lavallee, DPT

  • Physical Therapist
  • Concord, MA
  • NPI 1467413690
  NPD (past)
• Kara J Casey, PT

  • Physical Therapist
  • Escondido, CA
  • NPI 1366475881
  NPD (past)

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1073546594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 BAKER AVE",
            "address_2": "STE 111",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "01742",
            "telephone_number": "978-369-0730",
            "fax_number": "978-371-7499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 BAKER AVE",
            "address_2": "STE 111",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "01742",
            "telephone_number": "978-369-0730",
            "fax_number": "978-371-7499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY ASSOC OF CONCORD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "ZUPKUS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-369-0730",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9775161",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y65568",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth M Peters, M.D.
• Emily Jane Peters, LICSW
• Nina Ramona Petrarca, RN
• Constance K. Petricone, R.PH.
• Trista Brittany Phaneuf, CNM
• Kate Picariello, M.A.
• Michael R Piccioli, MD
• Ashley Pickering Brown, NP-C, CDE
• Melissa Roether Piech, M.D.
• Gerald Bernard Pinsky, LICSW

• Physical Therapist in Concord, MA
• Providers in Concord, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.