Individual provider Active NPI

Carolyn Bertelson, DPT, PT

  • Physical Therapist
  • Stoughton, MA
National Provider Identifier
1134689441
Registry record updated Mar 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
24074 Issued in MA
Practice address
445 Central St
Stoughton, MA 02072-1900
Phone
(781) 341-1942
Fax
(781) 436-8554
NPI assigned
Mar 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2019

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 24074 MA Primary

Addresses

Primary practice location

445 Central St
Stoughton, MA 02072-1900

Mailing address

1 Credit Union Way FL 3
Randolph, MA 02368-4633
Phone (781) 961-3370

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190403000875 MA Practitioner - Physical Therapist in Private Practice 0042551996 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connections Physical Therapy, Inc.Group PAC ID 3577456623, 88 clinicians

Practice addresses (Care Compare)

110 Cedar St
Wellesley, MA 02481-3527
Phone (781) 237-1769

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bay State Physical Therapy of Randolph Inc Physical Therapist CurrentSince Apr 1, 2019 Accepting new patients
Connections Physical Therapy Inc Physical Therapist CurrentSince Mar 28, 2022 Accepting new patients

Locations

703 Granite St
Ste 3
Braintree, MA 02184

1 Pearl St
Ste 1700
Brockton, MA 02301
Phone (508) 427-0525

406R Washington St
Holliston, MA 01746
Phone (508) 429-4940

1343 Providence Hwy
Norwood, MA 02062
Phone (781) 702-1339

1 Credit Union Way
Fl 3
Randolph, MA 02368
Phone 7819613370225

1054 County St
Somerset, MA 02726
Phone (508) 674-3340

419 Washington St
Stoughton, MA 02072
Phone (781) 436-0531

445 Central St
Stoughton, MA 02072
Phone (781) 341-1942

110 Cedar St
Ste 100
Wellesley Hills, MA 02481
Phone (617) 921-4336

110 Cedar St
Wellesley Hills, MA 02481
Phone (781) 237-1769

Organizations & group practices 2

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": "1553212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553212800000",
    "number": "1134689441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CREDIT UNION WAY FL 3",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023684633",
            "telephone_number": "781-961-3370",
            "fax_number": "781-961-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 CENTRAL ST",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020721900",
            "telephone_number": "781-341-1942",
            "fax_number": "781-436-8554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTELSON",
        "first_name": "CAROLYN",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-22",
        "last_updated": "2019-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "24074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stoughton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2019; 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.