Organization Active NPI

Anchor Physical Therapy LLC

  • Physical Therapist
  • Scituate, MA
National Provider Identifier
1083378202
Registry record updated Oct 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ANCHOR PHYSICAL THERAPY LLC
Practice address
3 Mill Wharf PLZ Ste N11
Scituate, MA 02066-1379
Phone
(781) 783-5373
Fax
(781) 987-9267
NPI assigned
Oct 25, 2021
Last updated
Oct 25, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2021

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

Authorized official

Name
Kerry Fogarty, MSPTNPI 1841341245
Title
Owner
Phone
(781) 783-5373

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

3 Mill Wharf PLZ Ste N11
Scituate, MA 02066-1379

Mailing address

3 Mill Wharf PLZ Ste N11
Scituate, MA 02066-1379
Phone (781) 783-5373

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211223001063 MA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9436540648 Receives reassigned benefits from 1 practitioner
Practice locations: Scituate, MA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635120000000",
    "number": "1083378202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MILL WHARF PLZ STE N11",
            "city": "SCITUATE",
            "state": "MA",
            "postal_code": "020661379",
            "telephone_number": "781-783-5373",
            "fax_number": "781-987-9267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MILL WHARF PLZ STE N11",
            "city": "SCITUATE",
            "state": "MA",
            "postal_code": "020661379",
            "telephone_number": "781-783-5373",
            "fax_number": "781-987-9267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCHOR PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-25",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A",
        "authorized_official_last_name": "FOGARTY",
        "authorized_official_first_name": "KERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-783-5373",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scituate, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.