Individual provider Active NPI

Alexis Eusebio

  • Physical Therapist
  • Norton, MA
National Provider Identifier
1114402930
Registry record updated Sep 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
23738 Issued in MA
Practice address
250 E Main St
Norton, MA 02766-2436
Phone
(508) 285-5533
Fax
(508) 285-7977
NPI assigned
Sep 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 23738 MA Primary

Addresses

Primary practice location

250 E Main St
Norton, MA 02766-2436

Mailing address

250 E Main St
Norton, MA 02766-2436
Phone (857) 444-0999

Other identifiers 1

IdentifierTypeStateIssuer
23738OtherMAPT LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181004002381 MA Practitioner - Physical Therapist in Private Practice 6709138571 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fusion Physical Therapy IncGroup PAC ID 5991928491, 3 clinicians

Practice addresses (Care Compare)

748 Ashley Blvd
New Bedford, MA 02745-5546
Phone (508) 995-9000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23738MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Marathon Physical Therapy and Sports Medicine, LLC Physical Therapist CurrentSince Oct 1, 2018 Accepting new patients
Fusion Physical Therapy Inc Physical Therapist CurrentSince Aug 1, 2022 Accepting new patients

Locations

81B County Rd
Unit B
Mattapoisett, MA 02739
Phone (508) 995-9000

748 Ashley Blvd
New Bedford, MA 02745
Phone (508) 995-9000

250 E Main St
Norton, MA 02766
Phone (508) 285-5533

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1538006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1114402930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 E MAIN ST",
            "city": "NORTON",
            "state": "MA",
            "postal_code": "027662436",
            "telephone_number": "857-444-0999",
            "fax_number": "508-285-4483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 E MAIN ST",
            "city": "NORTON",
            "state": "MA",
            "postal_code": "027662436",
            "telephone_number": "508-285-5533",
            "fax_number": "508-285-7977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EUSEBIO",
        "first_name": "ALEXIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-27",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "23738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "23738",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (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.