Thomas John Allardi, P.T. – Physical Therapist

Key facts

NPI: 1114148608
Entity type: Individual (NPI type 1)
Primary specialty: Physical Therapist 225100000X
License: 13161 (MA)
Practice address: 7 Lincoln Street
Suite 310
Wakefield, MA 01880
Phone: (781) 245-0055
Fax: (781) 245-8855
NPI assigned: May 1, 2007
Sex: Male
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Active Motion Physical Therapy Orthopedic Physical Therapist · Wakefield, MA · NPI 1306979604

Medicare reassignment Care Compare group NPD MA · PHYSICAL THERAPIST

Medicare Care Compare profile

Specialty: Physical Therapist in Private Practice
Education: Other, 1998
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Active Motion Physical Therapy (8 clinicians)

Practice addresses (Care Compare)

414 Main St
Wakefield, MA 01880-3018
Phone (781) 245-0055

Medicare participation

Medicare fee-for-service enrollment: Enrolled in MA

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20070605000461	MA	Practitioner - Physical Therapist in Private Practice	9638277221	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
13161	MA	MD	Physical Therapist

Practice roles

Organization	Specialty	Status	New patients
Active Motion Physical Therapy	Physical Therapist	Current since May 15, 2007	Accepting new patients

Locations

414 Main St
Wakefield, MA 01880
Phone (781) 245-0055

7 Lincoln St
Ste 310
Wakefield, MA 01880
Phone (781) 245-0055

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physical Therapist	225100000X	13161	MA	Yes

Addresses

Primary practice location

7 Lincoln Street
Suite 310
Wakefield, MA 01880

Mailing address

291 Park Street
North Reading, MA 01864
Phone (978) 664-3546

Other providers in Wakefield, MA

All providers in Wakefield, 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 Jul 8, 2007. 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.

Verify at the official NPI Registry.