NPIMap

Organization Active NPI

Healthy Edge Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Reading, MA
National Provider Identifier
1104211770
Registry record updated Apr 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
8175 Issued in MA
Legal business name
HEALTHY EDGE PHYSICAL THERAPY, INC.
Practice address
150 Main St
Reading, MA 01867-3970
Phone
(978) 944-2583
NPI assigned
Apr 1, 2015
Last updated
Apr 1, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2015

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

Authorized official

Name
Mr. Steven Cheng, P.T.NPI 1427047976
Title
President
Phone
(978) 944-2583

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 Therapy Clinic/Center 261QP2000X 8175 MA Primary

Addresses

Primary practice location

150 Main St
Reading, MA 01867-3970

Mailing address

150 Main St
Reading, MA 01867-3970
Phone (978) 944-2583

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150514002163 MA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7214257237 Receives reassigned benefits from 2 practitioners
Practice locations: Reading, MA

National Provider Directory

National Provider Directory

Locations

328 Main St
Reading, MA 01867
Phone (781) 324-0310

150 Main St
Reading, MA 01867
Phone (781) 872-1897

Practitioners & affiliated clinicians

Practitioners 12

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": "1427846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427846400000",
    "number": "1104211770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 MAIN ST",
            "city": "READING",
            "state": "MA",
            "postal_code": "018673970",
            "telephone_number": "978-944-2583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 MAIN ST",
            "city": "READING",
            "state": "MA",
            "postal_code": "018673970",
            "telephone_number": "978-944-2583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY EDGE PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-01",
        "last_updated": "2015-04-01",
        "status": "A",
        "authorized_official_last_name": "CHENG",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-944-2583",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MA",
            "license": "8175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2015; 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.