Individual provider Active NPI

Eileen Doyle Maloney

  • Physical Therapist
  • Lunenburg, MA
National Provider Identifier
1124853700
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4553 Issued in MA
Practice address
44 S Row Rd
Lunenburg, MA 01462-1140
Phone
(978) 407-1538
NPI assigned
Sep 4, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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 4553 MA Primary

Addresses

Primary practice location

44 S Row Rd
Lunenburg, MA 01462-1140

Mailing address

44 S Row Rd
Lunenburg, MA 01462-1140
Phone (978) 407-1538

Other names 1

  • Eileen F Doyle Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241023002044 MA Practitioner - Physical Therapist in Private Practice 1951834423 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehab Health 360 LLCGroup PAC ID 8325441603, 14 clinicians

Practice addresses (Care Compare)

289 Great Rd
Suite 306
Acton, MA 01720-4766
Phone (508) 667-0114

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab Health 360 LLC Physical Therapist CurrentSince Sep 11, 2024 Accepting new patients

Locations

289 Great Rd
Ste 306
Acton, MA 01720
Phone (508) 667-0114

289 Great Rd
Ste 102
Acton, MA 01720
Phone (978) 263-3600

Organizations & group practices 1

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": "1725408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1124853700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 S ROW RD",
            "city": "LUNENBURG",
            "state": "MA",
            "postal_code": "014621140",
            "telephone_number": "978-407-1538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 S ROW RD",
            "city": "LUNENBURG",
            "state": "MA",
            "postal_code": "014621140",
            "telephone_number": "978-407-1538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONEY",
        "first_name": "EILEEN",
        "middle_name": "DOYLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "4553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EILEEN",
            "last_name": "DOYLE",
            "middle_name": "F",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lunenburg, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.