Active NPI
Hannah Baly, DPT
- Physical Therapist
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 27979
- Practice address
- 34 Traveler St Ste G
Boston, MA 02118-2232 - Phone
- (617) 623-6300
- NPI assigned
- Sep 24, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 27979 | MA | Primary |
Addresses
Primary practice location
34 Traveler St Ste G
Boston, MA 02118-2232
Mailing address
PO Box 322
Boston, MA 02134-0003
Phone (617) 623-6300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241030001626 | MA | Practitioner - Physical Therapist in Private Practice | 9638602576 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Beantown Physio, IncBoston Sports Medicine Inc
Practice addresses (Care Compare)
33 Pond Ave
107B
Brookline, MA 02445-7163
Phone (617) 232-7246
34 Traveler St
Boston, MA 02118-2232
Phone (617) 623-6300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27979 | MA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boston Sports Medicine Inc | Physical Therapist | Current | Accepting new patients |
Locations
34 Traveler St
Boston, MA 02118
Phone (617) 623-6300
34 Traveler St
Ste G
Boston, MA 02118
Phone (617) 623-6300
14 McGrath Hwy
Somerville, MA 02143
Phone (617) 623-4500
Interoperability endpoints
- https://api.platform.athenahealth.com/11813/brand/1/csg/1/fhir/r4
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": "1727136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727136000000",
"number": "1174340947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 322",
"city": "BOSTON",
"state": "MA",
"postal_code": "021340003",
"telephone_number": "617-623-6300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 TRAVELER ST STE G",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182232",
"telephone_number": "617-623-6300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALY",
"first_name": "HANNAH",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-24",
"last_updated": "2024-09-24",
"certification_date": "2024-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "27979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.