NPIMap

Organization Active NPI

Gateway Physical Therapy and Wellness Corp

  • Physical Therapist
  • Lee, MA
National Provider Identifier
1194101048
Registry record updated Feb 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
17639 Issued in MA
Legal business name
GATEWAY PHYSICAL THERAPY AND WELLNESS CORP
Practice address
80 Run Way
Lee, MA 01238-9612
Phone
(413) 243-3477
Fax
(413) 243-1630
NPI assigned
Aug 3, 2015
Last updated
Feb 9, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2016

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

Authorized official

Name
Rachel Welch, MSPTNPI 1215980586
Title
Owner/PT
Phone
(413) 243-3477

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 TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 17639 MA Primary

Addresses

Primary practice location

80 Run Way
Lee, MA 01238-9612

Mailing address

80 Run Way
Lee, MA 01238-9612
Phone (413) 243-3477

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151027002387 MA Part B Supplier - Clinic/Group Practice 8325357668 Receives reassigned benefits from 5 practitioners
Practice locations: Lee, MA

National Provider Directory

National Provider Directory

Locations

80 Run Way
Lee, MA 01238
Phone (413) 243-3477

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1438560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454976000000",
    "number": "1194101048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 RUN WAY",
            "city": "LEE",
            "state": "MA",
            "postal_code": "012389612",
            "telephone_number": "413-243-3477",
            "fax_number": "413-243-1630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 RUN WAY",
            "city": "LEE",
            "state": "MA",
            "postal_code": "012389612",
            "telephone_number": "413-243-3477",
            "fax_number": "413-243-1630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY PHYSICAL THERAPY AND WELLNESS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-03",
        "last_updated": "2016-02-09",
        "status": "A",
        "authorized_official_last_name": "WELCH",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "OWNER/PT",
        "authorized_official_telephone_number": "413-243-3477",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "17639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lee, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; 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.