Individual provider Active NPI

Michael Gilday

  • Physical Therapist
  • Boston, MA
National Provider Identifier
1124794193
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
425 Brookline Ave
Boston, MA 02215-5410
Phone
(617) 232-4018
NPI assigned
Aug 19, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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 Primary

Addresses

Primary practice location

425 Brookline Ave
Boston, MA 02215-5410

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210826002039 MA Practitioner - Physical Therapist in Private Practice 2567867773 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Massachusetts Luna Care Physical Therapy LLCGroup PAC ID 8628468998, 26 clinicians
Boston Physical Therapy and Wellness, Inc.Group PAC ID 8123345139, 26 clinicians

Practice addresses (Care Compare)

Boston, MA 02109
Phone (866) 525-3175

275 Mystic Ave
Suite C
Medford, MA 02155-6301
Phone (781) 572-2965

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Rehabilitation of Western New England LLC Physical Therapist CurrentSince Aug 17, 2021 Accepting new patients
Performance Rehabilitation of Western New England LLC Physical Therapist CurrentSince Aug 17, 2021 Accepting new patients
Massachusetts Luna Care Physical Therapy LLC Physical Therapist CurrentSince May 15, 2023 Accepting new patients
Boston Physical Therapy & Wellness, Inc Physical Therapist CurrentSince Jun 22, 2022 Accepting new patients
Carl Gustafson LLC Physical Therapist Past Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

33377 Collection Ctr Dr
Chicago, IL 60693
Phone (617) 284-9418

101 University Dr
Ste A6
Amherst, MA 01002
Phone (413) 336-5703

425 Brookline Ave
Boston, MA 02215
Phone (617) 232-4018

10 Post Office Sq
Ste 800
Boston, MA 02109
Phone (617) 231-0011

275 Mystic Ave
Ste C
Medford, MA 02155
Phone (781) 572-2965

259 Swanton St
Ste A
Winchester, MA 01890
Phone (781) 560-2465

Organizations & group practices 5

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": "1629331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1124794193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 BROOKLINE AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155410",
            "telephone_number": "617-232-4018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILDAY",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-19",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; 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.