Dillon Braile
Individual provider Active NPI Physical Therapist · Bridgewater, MA
NPI 1093326480 · NPPES record last updated Aug 11, 2020
Key facts
- NPI
- 1093326480
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 25029 (MA)
- Practice address
- 75A Scotland Blvd
Bridgewater, MA 02324-2302 - Phone
- (508) 697-2000
- NPI assigned
- Aug 11, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Platinum Physical Therapy, Inc.
Practice addresses (Care Compare)
15 W Union St
Ashland, MA 01721-1464
Phone (508) 881-6750
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200818000837 | MA | Practitioner - Physical Therapist in Private Practice | 6507282811 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Platinum Physical Therapy, Inc. | Current |
Accepting new patients | |
| Silver Fern Practice, LLC | Physical Therapist | Current |
Accepting new patients |
| Platinum Physical Therapy, Inc. | Physical Therapist | Current |
Accepting new patients |
Locations
75A Scotland Blvd
Bridgewater, MA 02324
Phone (508) 697-2000
1 Lumber St
Ste 201
Hopkinton, MA 01748
Phone (508) 544-1540
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 25029 | MA | Yes |
Addresses
Primary practice location
75A Scotland Blvd
Bridgewater, MA 02324-2302
Mailing address
75A Scotland Blvd
Bridgewater, MA 02324-2302
Phone (508) 697-2000
Other providers in Bridgewater, MA
- Tyler Botelho
- Chrisann Boucher
- Boundless Community OT, LLC
- Boundless Community OT, LLC
- Michael James Brackett
- Zachary Edward Brandt
- Sandra D Breneville
- Shaelyn Marie Breslin
- Aliza Bridge
- Bridgewater Eye
All providers in Bridgewater, 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 Aug 11, 2020. 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.