Mary Paige Francis Hyland, DPT
Individual provider Active NPI Physical Therapist · Boston, MA
NPI 1124410980 · NPPES record last updated Mar 3, 2015
Key facts
- NPI
- 1124410980
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 21375 (MA)
- Practice address
- 185 Harrison Ave
Boston, MA 02111-1804 - Phone
- (617) 636-5632
- NPI assigned
- Mar 3, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Breakthrough Physical Therapy
Practice addresses (Care Compare)
60368 Cotton Gin Port Rd
Amory, MS 38821-9104
Phone (662) 257-3669
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241016001611 | MS | Practitioner - Physical Therapist in Private Practice | 4082146923 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21375 | MA | MD | Physical Therapist |
| PT5614 | MS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Breakthrough Physical Therapy | Physical Therapist | Current |
Accepting new patients |
| Breakthrough Physical Therapy | Physical Therapist | Past |
Accepting new patients |
Locations
60368 Cotton Gin Port Rd
Amory, MS 38821
Phone (662) 257-3669
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 21375 | MA | Yes |
| Physical Therapist | 225100000X | PT5614 | MS |
Addresses
Primary practice location
185 Harrison Ave
Boston, MA 02111-1804
Mailing address
2 Worthington St # 3
Boston, MA 02120-1605
Other providers in Boston, MA
- Eric C. Hyder
- Omar Hyder
- Chloe Marie Hylaire
- Colby John Hyland
- Linda Louise Hyland
- Patrick Hyland
- Emily P. Hyle
- Elaine M. Hylek
- Heather Marie Hylton
- Sarah W Hyman-Casilli
All providers in Boston, 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 Mar 3, 2015. 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.