Individual provider Active NPI

Stephen Poulin, PT

  • Physical Therapist
  • Littleton, MA
National Provider Identifier
1174504716
Registry record updated Mar 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
16626 Issued in MA
Practice address
80 King St Ste 1
Littleton, MA 01460-1565
Phone
(978) 772-8100
Fax
(978) 772-8102
NPI assigned
Nov 10, 2005
Last updated
Mar 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2026

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 16626 MA Primary

Addresses

Primary practice location

80 King St Ste 1
Littleton, MA 01460-1565

Mailing address

80 King St
Littleton, MA 01460-1565
Phone (978) 772-8100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050909000661 MA Practitioner - Physical Therapist in Private Practice 7012949027 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foundations Physical TherapyGroup PAC ID 2264971639, 4 clinicians

Practice addresses (Care Compare)

80 King St
Suite 1
Littleton, MA 01460-1565
Phone (978) 222-0166

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Foundations Physical Therapy CurrentSince Jul 1, 2024 Accepting new patients
Connections Physical Therapy Inc Physical Therapist PastSince Apr 6, 2021 Accepting new patients
Connections Physical Therapy NH, LLC Physical Therapist Past Accepting new patients

Locations

80 King St
Ste 1
Littleton, MA 01460
Phone (978) 222-0166

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774742400000",
    "number": "1174504716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 KING ST",
            "city": "LITTLETON",
            "state": "MA",
            "postal_code": "014601565",
            "telephone_number": "978-772-8100",
            "fax_number": "978-772-8102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 KING ST STE 1",
            "city": "LITTLETON",
            "state": "MA",
            "postal_code": "014601565",
            "telephone_number": "978-772-8100",
            "fax_number": "978-772-8102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POULIN",
        "first_name": "STEPHEN",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2026-03-29",
        "certification_date": "2026-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "16626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2026; 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.