NPIMap

Organization Active NPI

Concierge Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Sutton, MA
National Provider Identifier
1164935862
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
CONCIERGE PHYSICAL THERAPY, INC.
Practice address
211 Worcester Providence Tpke
Sutton, MA 01590-2905
Phone
(508) 861-1010
NPI assigned
Nov 16, 2017
Last updated
Oct 31, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Authorized official

Name
Sean LordanNPI 1205180635
Title
President
Phone
(508) 861-1010

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

211 Worcester Providence Tpke
Sutton, MA 01590-2905

Mailing address

211 Worcester Providence Tpke
Sutton, MA 01590-2905

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180117002260 MA Part B Supplier - Clinic/Group Practice 1658630710 Receives reassigned benefits from 31 practitioners
Practice locations: Hopkinton, MA; Northborough, MA; Shrewsbury, MA; Southborough, MA; Sutton, MA

National Provider Directory

National Provider Directory

Locations

22 South St
Ste 207
Hopkinton, MA 01748
Phone (978) 517-4500

307 Grafton St
Ste 103
Shrewsbury, MA 01545
Phone (508) 841-5037

154 Turnpike Rd
Southborough, MA 01772
Phone (508) 861-1010

211 Worcester Providence Tpke
Sutton, MA 01590
Phone (508) 861-1010

211 Worcester Providence Tpke
#T
Sutton, MA 01590

64 Worcester Providence Tpke
Sutton, MA 01590
Phone (508) 861-1010

Practitioners & affiliated clinicians

Practitioners 34

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 34

NPI Registry JSON

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

{
    "created_epoch": "1510790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1164935862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 WORCESTER PROVIDENCE TPKE",
            "city": "SUTTON",
            "state": "MA",
            "postal_code": "015902905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 WORCESTER PROVIDENCE TPKE",
            "city": "SUTTON",
            "state": "MA",
            "postal_code": "015902905",
            "telephone_number": "508-861-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCIERGE PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-16",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A",
        "authorized_official_last_name": "LORDAN",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-861-1010"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sutton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.