Organization Active NPI

Middlesex Rehabilitation, LLC

  • Physical Therapy Clinic/Center
  • Hudson, MA
National Provider Identifier
1124625298
Registry record updated Oct 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
MIDDLESEX REHABILITATION, LLC
Practice address
131 Coolidge St
Hudson, MA 01749-3326
Phone
(978) 562-0345
Fax
(978) 562-0257
NPI assigned
Oct 2, 2020
Last updated
Oct 2, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2020

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

Authorized official

Name
Richard Thomas Sheehan, PT, DPTNPI 1376914176
Title
President/Owner
Phone
(978) 509-3697

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 Primary

Addresses

Primary practice location

131 Coolidge St
Hudson, MA 01749-3326

Mailing address

131 Coolidge St
Hudson, MA 01749-3326
Phone (978) 562-0345

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201204000790 MA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8022429562 Receives reassigned benefits from 1 practitioner
Practice locations: Hudson, MA

National Provider Directory

National Provider Directory

Locations

131 Coolidge St
Ste 222
Hudson, MA 01749
Phone (978) 562-0345

Practitioners & affiliated clinicians

Practitioners 6

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": "1601596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601596800000",
    "number": "1124625298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 COOLIDGE ST",
            "city": "HUDSON",
            "state": "MA",
            "postal_code": "017493326",
            "telephone_number": "978-562-0345",
            "fax_number": "978-562-0257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 COOLIDGE ST",
            "city": "HUDSON",
            "state": "MA",
            "postal_code": "017493326",
            "telephone_number": "978-562-0345",
            "fax_number": "978-562-0257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLESEX REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-02",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A",
        "authorized_official_last_name": "SHEEHAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "978-509-3697",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2020; 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.