Pinnacle Rehabilitation Network LLC
Organization Active NPI Physical Therapist · Plymouth, MA
NPI 1104060805 · NPPES record last updated Nov 6, 2025
Key facts
- NPI
- 1104060805
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- PINNACLE REHABILITATION NETWORK LLC
- Practice address
- 45 Resnik Rd Ste 104a
Plymouth, MA 02360-4843 - Phone
- (508) 747-6600
- Fax
- (508) 747-6606
- NPI assigned
- Apr 24, 2009
- Organization subpart
- Yes
- Parent organization (as reported)
- PINNACLE REHABILITATION NETWORK LLC
Authorized official
- Name
- Amanda Taylor
- Title
- VP of Operations
- Phone
- (978) 388-7272
Other NPIs on the same Medicare enrollment 14
Other NPIs with the same Medicare PAC ID 4
Corporate family (same tax ID) 32
Practitioners 105
-
Brenda Oconnell, P.T.
-
Hayley Watson, DPT, PT
-
Andrew X Destefano, DPT
-
Julia Kathryn Flaherty, PT, DPT
-
Samuel C Frommelt, PT, DPT
-
Garrett Goslin, DPT
-
Matthew G Page, DPT
-
Minh-Tam Le Woods, DPT
-
Brittany Yaxter, DPT
-
Allison Diana Bailey, PT, DPT
-
Marissa Bailey, PT, DPT
-
Maxwell William Bieber, PT, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MA, ME
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090715000553 | MA | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 7618872086 |
Receives reassigned benefits from 4 practitioners Practice locations: Plymouth, MA |
| O20120830000519 | ME | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 7618872086 |
Receives reassigned benefits from 35 practitioners 14 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Topsham, ME; Brunswick, ME; Scarborough, ME; Saco, ME; Portland, ME; Lewiston, ME; Gorham, ME; Freeport, ME… |
National Provider Directory
- Tax ID family
- Pinnacle Rehab Network LLC
- Part of
- Pinnacle Rehab Network LLC
Locations
45 Resnik Rd
Ste 104A
Plymouth, MA 02360
Phone (508) 747-6600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
45 Resnik Rd Ste 104a
Plymouth, MA 02360-4843
Mailing address
73 Newton Rd Unit 101
Plaistow, NH 03865-2440
Phone (978) 388-7272
Other names
- Blue Hills Sports & Spine of Plymouth
Other providers in Plymouth, MA
- Peter Michael Pillitteri
- Alexandria Pimental
- William Pimental
- Michaela Jean Pimentel
- Lydell Pina Sr.
- Jennifer Pinto
- Laura A. Pisapia
- Planet Rheumatology,PC
- Laurie Lee Plante
- Plymouth Bay Internal Medicine
All providers in Plymouth, 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 Nov 6, 2025. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.