Organization Active NPI

Pelvicore Physical Therapy & Wellness LLC

  • Physical Therapist
  • Watertown, MA
National Provider Identifier
1124837562
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PELVICORE PHYSICAL THERAPY & WELLNESS LLC
Practice address
489 Mount Auburn St Ste 4
Watertown, MA 02472-4163
Phone
(617) 383-7786
NPI assigned
Dec 31, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Authorized official

Name
Danielle Ferguson, DPTNPI 1114271848
Title
Physical Therapist/Co-Founder
Phone
(617) 383-7786

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

489 Mount Auburn St Ste 4
Watertown, MA 02472-4163

Mailing address

489 Mount Auburn St Ste 4
Watertown, MA 02472-4163
Phone (617) 383-7786

National Provider Directory

National Provider Directory

Locations

489 Mount Auburn St
Ste 4
Watertown, MA 02472
Phone (617) 383-7786

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1735603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762214400000",
    "number": "1124837562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "489 MOUNT AUBURN ST STE 4",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024724163",
            "telephone_number": "617-383-7786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 MOUNT AUBURN ST STE 4",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024724163",
            "telephone_number": "617-383-7786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELVICORE PHYSICAL THERAPY & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-31",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/CO-FOUNDER",
        "authorized_official_telephone_number": "617-383-7786",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.