NPIMap

Organization Active NPI

Bay State Physical Therapy of Randolph Inc

Doing business as Bay State Physical Therapy

  • Physical Therapist
  • Fall River, MA
National Provider Identifier
1164474334
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
BAY STATE PHYSICAL THERAPY OF RANDOLPH INC
Doing business as
Bay State Physical Therapy
Practice address
450 William S Canning Blvd Unit 3
Fall River, MA 02721-5603
Phone
(774) 520-0033
Fax
(774) 929-6692
NPI assigned
May 16, 2006
Last updated
Jul 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Authorized official

Name
Steven Windwer, DCNPI 1568484889
Title
Owner
Phone
(781) 961-3370

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X MA

Addresses

Primary practice location

450 William S Canning Blvd Unit 3
Fall River, MA 02721-5603

Mailing address

703 Granite St Ste 300
Braintree, MA 02184-5350
Phone (781) 961-3370

Other practice location 1

703 Granite St Ste 300
Braintree, MA 02184-5350
Phone (781) 961-3370

Other identifiers 7

IdentifierTypeStateIssuer
689511OtherMATUFTS HEALTH PLAN
9705601MedicaidMA
626127OtherMAHARVARD PILGRIM
0009411OtherMAALLWAYS HEALTHCARE (FORMERLY NHP)
684486OtherMAOPTUM/UHC
PT0101OtherMAMEDICARE PIN
Y61008OtherMABLUE CROSS BLUE SHIELD (MA)

Other names 2

  • Bay State Physical Therapy Doing business as
  • Bay State Physical Therapy of Randolph PC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191112001187 MA Part B Supplier - Clinic/Group Practice 6305744251 Receives reassigned benefits from 654 practitioners
3 other NPIs on this enrollment

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations (25 of 51)

360 Brockton Ave
Ste 206
Abington, MA 02351
Phone (781) 878-5550

360 Brockton Ave
Ste 208
Abington, MA 02351

22 Mill St
Arlington, MA 02476
Phone (781) 646-8440

175 Great Rd
Ste 200
Bedford, MA 01730
Phone (781) 896-7964

186 Great Rd
Ste 8
Bedford, MA 01730

385 Concord Ave
Ste 105
Belmont, MA 02478
Phone (617) 993-4141

254 Essex St
Fl 2
Beverly, MA 01915

703 Granite St
Ste 300
Braintree, MA 02184
Phone (603) 626-4205

362 Belmont St
Brockton, MA 02301
Phone (508) 584-6622

54 Middlesex Tpke
Ste 202
Burlington, MA 01803
Phone (781) 323-4116

25 Carleton St
Ste E23195
Cambridge, MA 02142

2172 Massachusetts Ave
Cambridge, MA 02140
Phone (617) 915-8082

67 Parkhurst Rd
Ste 3
Chelmsford, MA 01824
Phone (978) 935-4055

25 Boylston St
Ste 108
Chestnut Hill, MA 02467
Phone (617) 244-6000

450 William S Canning Blvd
Unit 3
Fall River, MA 02721
Phone (774) 520-0033

205 Worcester Ct
Ste 3BB3
Falmouth, MA 02540

205 Worcester Ct
Ste 3B
Falmouth, MA 02540
Phone (774) 349-0026

161 Worcester Rd
Ste 100
Framingham, MA 01701
Phone (508) 474-5789

284 Monponsett St
Ste 109
Halifax, MA 02338

310 Main St
Unit 306
Haverhill, MA 01830

170 Shipyard Dr
Ste A
Hingham, MA 02043

186 Summer St
Kingston, MA 02364
Phone (781) 585-8588

1899 Ocean St
Ste X
Marshfield, MA 02050
Phone (781) 536-4034

87 Pleasant Valley St
Methuen, MA 01844
Phone (978) 965-6002

100 Milk St
#2
Methuen, MA 01844

Practitioners & affiliated clinicians

Practitioners 716

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 716

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784678400000",
    "number": "1164474334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 GRANITE ST STE 300",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021845350",
            "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": "450 WILLIAM S CANNING BLVD UNIT 3",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027215603",
            "telephone_number": "774-520-0033",
            "fax_number": "774-929-6692"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "703 Granite St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Braintree",
            "state": "MA",
            "postal_code": "021845350",
            "country_code": "US",
            "telephone_number": "781-961-3370",
            "fax_number": "781-961-1291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BAY STATE PHYSICAL THERAPY OF RANDOLPH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A",
        "authorized_official_last_name": "WINDWER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-961-3370",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "689511",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9705601",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "626127",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLWAYS HEALTHCARE (FORMERLY NHP)",
            "identifier": "0009411",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTUM/UHC",
            "identifier": "684486",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "PT0101",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD (MA)",
            "identifier": "Y61008",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bay State Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bay State Physical Therapy of Randolph PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Fall River, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.