Brian Devellis
Individual provider Active NPI Physical Therapist · North Attleboro, MA
NPI 1083335186 · NPPES record last updated Sep 7, 2022
Key facts
- NPI
- 1083335186
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 26271 (MA)
- Practice address
- 500 E Washington St
North Attleboro, MA 02760-6301 - Phone
- (508) 316-0559
- NPI assigned
- Sep 7, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 21
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Integrated Rehabilitation Group PC
Practice addresses (Care Compare)
403 W Stanley St
Granite Falls, WA 98252-8631
Phone (360) 691-4835
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MA, WA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220929003016 | MA | Practitioner - Physical Therapist in Private Practice | 7113303025 | Reassigns benefits to 1 organization |
| I20250902001918 | WA | Practitioner - Physical Therapist in Private Practice | 7113303025 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elliott Physical Therapy, Inc. | Physical Therapist | Current |
Accepting new patients |
| Integrated Rehabilitation Group, PC | Physical Therapist | Current |
Accepting new patients |
| Integrated Rehabilitation Group, PC | Physical Therapist | Current | Accepting new patients |
| Integrated Rehabilitation Group, PC | Physical Therapist | Current |
Accepting new patients |
Locations
960 William T Morrissey Blvd
Dorchester, MA 02122
Phone (617) 506-7210
500 E Washington St
North Attleboro, MA 02760
Phone (508) 316-0559
10207 19th Ave SE
Everett, WA 98208
Phone (425) 337-3166
403 W Stanley St
Granite Falls, WA 98252
Phone (360) 691-4835
4220 132nd St SE
Ste 101
Mill Creek, WA 98012
Phone (425) 316-8046
201 W North River Dr
Ste 510
Spokane, WA 99201
Phone (509) 323-0066
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 26271 | MA | Yes |
Addresses
Primary practice location
500 E Washington St
North Attleboro, MA 02760-6301
Mailing address
500 E Washington St
North Attleboro, MA 02760-6301
Phone (508) 316-0559
Other providers in North Attleboro, MA
- Martine Delonnay
- Jennifer Ellen Demarco
- Korrey Lynne Demond
- Dermatology Professionals, LLC
- Mercedes Rose Desautel
- Brittany Leigh Dilegge
- Ann Ding
- Julianne Distler
- Hitomi Donovan
- Jean A. Douillette
All providers in North Attleboro, MA · Physical Therapist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.