Individual provider Active NPI

Daniel Depaolo

  • Physical Therapist
  • North Andover, MA
National Provider Identifier
1164934204
Registry record updated Oct 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
220 Sutton St
North Andover, MA 01845-1680
Phone
(978) 682-7009
NPI assigned
Oct 30, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2017

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 Primary

Addresses

Primary practice location

220 Sutton St
North Andover, MA 01845-1680

Mailing address

7 Kings Way
Groveland, MA 01834-2028

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200424000550 CT Practitioner - Physical Therapist in Private Practice 3678903176 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Associates of Hartford,PCGroup PAC ID 1850382409, 95 clinicians

Practice addresses (Care Compare)

345 Western Blvd
Glastonbury, CT 06033-4380
Phone (860) 549-3210

Merit-based Incentive Payment System (MIPS)

Final score
94.04 of 100Reported as group
Quality
98.06
Promoting interoperability
100
Improvement activities
40
Cost
82.07

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12108CTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Associates of Hartford,PC CurrentSince Apr 9, 2020 Accepting new patients
Orthopedic Associates of Hartford,PC CurrentSince Apr 9, 2020 Accepting new patients

Locations

345 Western Blvd
Glastonbury, CT 06033
Phone (860) 549-8288

31 Seymour St
Ste 100
Hartford, CT 06106
Phone (860) 549-8208

150 Enterprise Dr
Rocky Hill, CT 06067
Phone (860) 244-8857

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": "1509321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509321600000",
    "number": "1164934204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 KINGS WAY",
            "city": "GROVELAND",
            "state": "MA",
            "postal_code": "018342028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 SUTTON ST",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018451680",
            "telephone_number": "978-682-7009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPAOLO",
        "first_name": "DANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-30",
        "last_updated": "2017-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Andover, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2017; 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.