Clover Physical Therapy, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

CLOVER PHYSICAL THERAPY, LLC

Practice address

7 Prescott St
Pepperell, MA 01463-1165

Phone

(703) 915-9697

NPI assigned

May 21, 2021

Last updated

May 21, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Laura Dennis, PTNPI 1063895829

Title

Owner

Phone

(703) 915-9697

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Laura Lynn Dennis, PT

  • Physical Therapist
  • Worcester, MA
  • NPI 1063895829
  NPD Authorized official

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621555200000",
    "number": "1083289136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 PRESCOTT ST",
            "city": "PEPPERELL",
            "state": "MA",
            "postal_code": "014631115",
            "telephone_number": "703-915-9697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 PRESCOTT ST",
            "city": "PEPPERELL",
            "state": "MA",
            "postal_code": "014631165",
            "telephone_number": "703-915-9697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOVER PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-21",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A",
        "authorized_official_last_name": "DENNIS",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-915-9697",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Regan Boersma, PHD, RN
• Renee Brunelle, RD LDN
• Sarah Anne Bulwinkle, M.ED LMHC
• Wayne J Byrnes, M.D.
• Robyn Anne Ciriello, PA-C
• Melissa Corey, LADC1
• Covered Bridge Counseling LLC
• Dayna Cruise
• Cristi A Desocio, M.D.
• Breanna Devine

• Physical Therapy Clinic/Center in Pepperell, MA
• Providers in Pepperell, MA by specialty
• Physical Therapy Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; 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.