William Joseph Squires, Jr, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5028 Issued in MA

Practice address

120 Banks St
Winthrop, MA 02152-1931

Phone

(617) 846-5609

Fax

(617) 539-0025

NPI assigned

Apr 4, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Performance Physical Therapy IncGroup PAC ID 2567520596, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Performance Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Chelsea, MA
  • NPI 1548482755

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Championship Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Winthrop, MA
  • NPI 1184731259

  Physical Therapist

  Medicare reassignment NPD
• Byron V Hartunian MD PC

  • Specialist
  • Cambridge, MA
  • NPI 1568554475
  NPD (past)

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197417600000",
    "number": "1154443950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 BANKS ST",
            "city": "WINTHROP",
            "state": "MA",
            "postal_code": "021521931",
            "telephone_number": "617-846-5609",
            "fax_number": "617-539-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 BANKS ST",
            "city": "WINTHROP",
            "state": "MA",
            "postal_code": "021521931",
            "telephone_number": "617-846-5609",
            "fax_number": "617-539-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SQUIRES, JR",
        "first_name": "WILLIAM",
        "middle_name": "JOSEPH",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "5028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0359114",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD",
            "identifier": "Y66479",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Josina Silva, LMT
• Heather Sinclair
• Ashley Jordan Solano, PT, DPT
• Kerry Lynn Spindler, LE
• Spine Center North Shore LLC
• Simon Peter Ssewalya
• Wenqi Farren Starble
• Robert Nicholas Staulo, D.C.
• Natalie Sullivan, MS CCC-SLP
• Kelly Jean Swanson

• Physical Therapist in Winthrop, MA
• Providers in Winthrop, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; 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.