Individual provider Active NPI

Rachel Anne Seeley, PT

  • Physical Therapist
  • Somerville, MA
National Provider Identifier
1164140265
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
26422 Issued in MA
Practice address
5 Middlesex Ave
Somerville, MA 02145-1102
Phone
(617) 591-6840
NPI assigned
Aug 16, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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 26422 MA Primary

Addresses

Primary practice location

5 Middlesex Ave
Somerville, MA 02145-1102

Mailing address

5 Brenda LN
Burlington, MA 01803-1205

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240105002300 MA Practitioner - Physical Therapist in Private Practice 7012368830 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athletic Edge Physical TherapyGroup PAC ID 0042568990, 9 clinicians

Practice addresses (Care Compare)

7 Alfred St
Suite 110
Woburn, MA 01801-1900
Phone (781) 548-0969

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26422MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletic Edge Physical Therapy Physical Therapist CurrentSince Dec 18, 2023 Accepting new patients
Cambridge Public Health Commission Current Accepting new patients
Performance Rehabilitation of Western New England LLC Physical Therapist PastSince Dec 18, 2023 Accepting new patients

Locations

5 Middlesex Ave
Somerville, MA 02145
Phone (617) 591-4600

7 Alfred St
Ste 110
Woburn, MA 01801
Phone (781) 281-2391

Interoperability endpoints

  • Direct secure messaging: rseeley111439@direct.challiance.masshiway.net

Organizations & group practices 3

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": "1660608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1164140265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BRENDA LN",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018031205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MIDDLESEX AVE",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021451102",
            "telephone_number": "617-591-6840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEELEY",
        "first_name": "RACHEL",
        "middle_name": "ANNE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-16",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "26422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; 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.