NPIMap

Organization Active NPI

Pinnacle Rehabilitation Network LLC

Doing business as Blue Hills Sports & Spine of Plymouth

  • Physical Therapist
  • Plymouth, MA
National Provider Identifier
1104060805
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PINNACLE REHABILITATION NETWORK LLC
Doing business as
Blue Hills Sports & Spine of Plymouth
Practice address
45 Resnik Rd Ste 104a
Plymouth, MA 02360-4843
Phone
(508) 747-6600
Fax
(508) 747-6606
NPI assigned
Apr 24, 2009
Last updated
Nov 6, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
PINNACLE REHABILITATION NETWORK LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Authorized official

Name
Amanda Taylor
Title
VP of Operations
Phone
(978) 388-7272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

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 1

  • Blue Hills Sports & Spine of Plymouth Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, ME2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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…

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 14

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 14

National Provider Directory

National Provider Directory
Tax ID family
Pinnacle Rehab Net LLC34 organizations share this tax ID, including this one
Part of
Pinnacle Rehab Net LLC

Other organizations with this tax ID 33

Organizations that report the same tax identification number in the National Provider Directory.

View all 33

Practitioners & affiliated clinicians

Practitioners 4

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": "1240531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762387200000",
    "number": "1104060805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 NEWTON RD UNIT 101",
            "city": "PLAISTOW",
            "state": "NH",
            "postal_code": "038652440",
            "telephone_number": "978-388-7272",
            "fax_number": "978-388-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 RESNIK RD STE 104A",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604843",
            "telephone_number": "508-747-6600",
            "fax_number": "508-747-6606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE REHABILITATION NETWORK LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PINNACLE REHABILITATION NETWORK LLC",
        "enumeration_date": "2009-04-24",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "978-388-7272"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Hills Sports & Spine of Plymouth",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Blue Hills Sports & Spine of Plymouth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plymouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; 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.